Stephanie L J Bailey, M.D. Valid NPI

Individual provider · Family Medicine Physician · Lino Lakes, MN

NPI

1174747018

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

53364 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2007-04-12

Last updated

2022-02-14