Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 4301095871 | MI |
NPI | 1245499961 |
---|---|
Provider Name | Dr. Daniel Arndt |
First Address | Southfield, MI 48033-3849 |
Second Address | Royal Oak, MI 48073-6770 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 23/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1245499961 | (05) | MI |
4301095871 | MI PHYSICIANS LICENSE (01) | MI |