Healthcare Provider Details
I. General information
NPI: 1982969168
Provider Name (Legal Business Name): JOSEPH A. ARENDS M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2012
Last Update Date: 07/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6448 PARKVIEW DR
TROY MI
48098-2244
US
IV. Provider business mailing address
6448 PARKVIEW DR
TROY MI
48098-2244
US
V. Phone/Fax
- Phone: 248-879-5625
- Fax:
- Phone: 248-879-5625
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083P0901X |
| Taxonomy | Public Health & General Preventive Medicine Physician |
| License Number | 27657 |
| License Number State | MI |
VIII. Authorized Official
Name:
JOSEPH
ANTHONY
ARENDS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 248-879-5625