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NPI Code Detail

MEDICARE: BAILEE SEARCY

MEDICARE:   BAILEE  SEARCY
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMI

General Provider Information

NPI Number : 1790643542
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEE SEARCY
Provider Business Mailing Address
First Line : 674 KINGS HWY
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-4608
Country : US
Telephone Number : 313-287-7076
Fax Number :
Provider Business Practice Location Address
First Line : 6700 W OUTER DR
Second Line :
City : DETROIT
State : MI
Zip : 48235-2724
Country : US
Telephone Number : 313-836-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ BAILEE SEARCY ” Practice Location

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