Healthcare Provider Details

I. General information

NPI: 1306885686
Provider Name (Legal Business Name): DR. PETER M ARNDT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15676 PILOT KNOB RD
APPLE VALLEY MN
55124-7293
US

IV. Provider business mailing address

15676 PILOT KNOB RD
APPLE VALLEY MN
55124-7293
US

V. Phone/Fax

Practice location:
  • Phone: 952-952-1153
  • Fax: 952-953-1154
Mailing address:
  • Phone: 952-952-1153
  • Fax: 952-952-1154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34740
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: