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Contact Information

BRYAN D BAILLIS, MD
5779 WOOSTER PIKE
MEDINA, OH44256-8816
 Phone: 330-725-0569
 Fax: 330-662-0258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRYAN D BAILLIS · (Male)

NPI # 1699193508
Status Active
Credentials MD
Entity Individual
Enumeration date 03/29/2014
Last updated 10/31/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35.132996
  • OH Medicaid 0329928
Hospital affiliation(s)
  • SUMMA HEALTH SYSTEMS HOSPITALS - (Acute Care)
    525 EAST MARKET STREET
    AKRON, OH 44309
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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