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Physician Compare National (NPI:1700835527)

HEALTHCARE PROVIDER: MICHAEL TODD ARNESON D.P.T.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1700835527
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1456449636
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20071126000093
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ARNESON
Individual professional last name
Provider First Name MICHAEL
Individual professional first name
Provider Middle Name T
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1999
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name ADVANCE PHYSICAL THERAPY INC.
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 0840334421
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 3
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 309 1ST NEST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 101
Group Practice or individual's line 2 address
City LITTLE FALLS
Group Practice or individual's city
State MN
Group Practice or individual's state
Zip Code 563454635
Group Practice or individual's zip code (9 digits when available)
Phone Number 3206312302
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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