Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 4301077373 | MI |
NPI | 1013966878 |
---|---|
Provider Name | Dr. Arnold Mendoza Parial |
First Address | Sturgis, MI 49091-2371 |
Second Address | Sturgis, MI 49091-2371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4324007 | (05) | MI |
H17537 | (02) | MI |