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NPI Code Detail

MEDICARE: DR. MICHELLE E. G. DONALDSON-BAILEY DPM

MEDICARE: DR. MICHELLE E. G. DONALDSON-BAILEY DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristPD158RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265570063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE E. G. DONALDSON-BAILEY DPM
Provider Business Mailing Address
First Line : 3224 ST. CLAUDE AVE.
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117
Country : US
Telephone Number : 504-945-8102
Fax Number : 504-945-1201
Provider Business Practice Location Address
First Line : 3224 SAINT CLAUDE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-6659
Country : US
Telephone Number : 504-945-8102
Fax Number : 504-945-1201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/03/2014

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