Healthcare Provider Details

I. General information

NPI: 1851613053
Provider Name (Legal Business Name): MARC ALAN ARNOYS L.L.P.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2010
Last Update Date: 02/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 N STATE ST
STANTON MI
48888-8915
US

IV. Provider business mailing address

40 JEFFERSON AVE SE
GRAND RAPIDS MI
49503-4304
US

V. Phone/Fax

Practice location:
  • Phone: 989-831-8309
  • Fax:
Mailing address:
  • Phone: 616-456-1443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401011790
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: