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NPI Code Detail

MEDICARE: MARVIN ARNOLD

MEDICARE: MARVIN ARNOLD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1740307818
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARVIN ARNOLD
Provider Business Mailing Address
First Line : 18700 LITTLEFIELD ST
Second Line :
City : DETROIT
State : MI
Zip : 48235-1376
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 W MCNICHOLS RD
Second Line :
City : DETROIT
State : MI
Zip : 48203-2703
Country : US
Telephone Number : 313-867-8015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 07/08/2007

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Directions to “ MARVIN ARNOLD ” Practice Location

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