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Individual

DOUGLAS F. BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
303 E NICOLLET BLVD, SUITE 300, BURNSVILLE, MN 55337-4522
(952) 435-4140
(952) 435-4189
Mailing address
3400 W 66TH ST, SUITE 350, MINNEAPOLIS, MN 55435-2111
(952) 832-0805
(952) 832-5597

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37590
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168217200
MN
Enumeration date
07/06/2006
Last updated
04/12/2013
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