Healthcare Provider Details

I. General information

NPI: 1750073631
Provider Name (Legal Business Name): BAILEY CORREAN JAMES MORGAN DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 W SUPERIOR ST STE 408
DULUTH MN
55802-1726
US

IV. Provider business mailing address

324 W SUPERIOR ST STE 408
DULUTH MN
55802-1726
US

V. Phone/Fax

Practice location:
  • Phone: 218-722-0615
  • Fax:
Mailing address:
  • Phone: 218-722-0326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1215
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: