NPI 1164611836

Gary W Bailey DO PC

Organisation General Practice Physician Grand Rapids, MI

Practice location

Address: 2525 Burton St SE, Grand Rapids, MI 49546
Phone: (616) 957-2410
Fax: (616) 957-2411
Mailing address: 2525 Burton St SE, Grand Rapids, MI 49546-4834

Authorised official

Name: Gary Willis Bailey
Title: Physician/Owner
Phone: (616) 957-2410

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 5101007477 (MI)

Other General Practice providers in Michigan →

Registry record

NPI: 1164611836
Entity type: Organization
NPI issued: 18 Oct 2007
Record last updated: 19 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.