Individual
GREG BAILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 TOWER DR W, STILLWATER, MN 55082-7511
(651) 439-8540
Mailing address
7551 9TH ST N, SUITE 100, OAKDALE, MN 55128-6629
(651) 748-4338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9623
MN
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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