=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013910603
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHAEL ARNZ D.P.M.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2005
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1500 DELHI ST STE 2200
-----------------------------------------------------
City | DUBUQUE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52001-6359
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 563-557-5930
-----------------------------------------------------
Fax | 563-557-5936
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8938 PHEASANT LN
-----------------------------------------------------
City | DUBUQUE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52003-9266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 563-556-4297
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | 739
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------