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Individual

DR. JANE ALLISON BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3900 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2505
(952) 993-3150
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
21427
NE
207W00000X
Ophthalmology Physician
65267
MN
207W00000X
Ophthalmology Physician
MD-44203
IA
207WX0109X
Neuro-ophthalmology Physician
Primary
65267
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025118100
NE
Enumeration date
09/14/2005
Last updated
07/21/2022
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