Individual
MS. CHARLENE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A. C.
Contact information
Practice address
15501 METROPOLITAN PKWY, STE110, CLINTON TWP, MI 48036-1684
(586) 286-9720
(586) 286-3134
Mailing address
15501 METROPOLITAN PKWY, STE110, CLINTON TWP, MI 48036-1684
(586) 286-9720
(586) 286-3134
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002587
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550140
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/03/2006
Last updated
02/11/2009
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