Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 4301085549 | MI |
Y | 2084N0400X | Neurologist | 51556 | WI |
NPI | 1033102546 |
---|---|
Provider Name | Naomi E Arenson |
First Address | Marshfield, WI 54449-5703 |
Second Address | Wausau, WI 54401-4129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 25/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130E26028 | BLUE CROSS BLUE SHIELD MI (01) | MI |
4759499 | (05) | MI |
APPR | (05) | WI |
I34454 | (02) |