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NPI Code Detail

MEDICARE: ANNETTE BAILEY

MEDICARE: ANNETTE BAILEY
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1619348794
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE BAILEY
Provider Business Mailing Address
First Line : 11100 CRANBERRY LAKE RD
Second Line :
City : GLADWIN
State : MI
Zip : 48624-9523
Country : US
Telephone Number : 989-701-7571
Fax Number :
Provider Business Practice Location Address
First Line : 11100 CRANBERRY LAKE RD
Second Line :
City : GLADWIN
State : MI
Zip : 48624-9523
Country : US
Telephone Number : 989-701-7571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2015
Last Update Date : 10/14/2015

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Directions to “ ANNETTE BAILEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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