Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 4301041218 | MI |
NPI | 1124012661 |
---|---|
Provider Name | Mr. Daniel J Arnold |
First Address | Marquette, MI 49855-2675 |
Second Address | Marquette, MI 49855-2675 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 01/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11059055 | RAILROAD MEDICARE (01) | MI |
110E21002 | BLUE CROSS BLUE SHIELD (01) | MI |
3145567 | (05) | MI |
A73771 | (02) |