NPI

Baylie Clark

NPI 1700251295

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
ATS
Type
Individual
Enumeration date
2015-12-09
Last updated
2015-12-09

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Specialties

Licenses

License MN
2255A2300X

Location

Practice location
12381 N Shore Dr
City
Spicer MN
Postal code
56288-9576
Phone
(320) 905-4477

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Spicer, MN. 35 records in the public file.

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