Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 71627-20 | WI |
N | 207VG0400X | Gynecologist | 38956 | MN |
N | 207VX0201X | Gynecologic Oncologist | 38956 | MN |
NPI | 1083682876 |
---|---|
Provider Name | Cheryl L Bailey |
First Address | Minneapolis, MN 55404-4526 |
Second Address | Green Bay, WI 54301-3504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 15/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0703779 | MEDICA (01) | MN |
1011264 | PREFERRED ONE (01) | MN |
115880 | UCARE MN (01) | MN |
16A76BA | BCBS MN (01) | MN |
26356 | AMERICA'S PPO NUMBER (01) | MN |
32217400 | (05) | WI |
404933100 | (05) | MD |
497319400 | (05) | MN |
F84730 | (02) | MN |
HP19336 | HEALTHPARTNERS (01) | MN |