MEDICARE: DR. ARSENIO TENORIO PARIAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	4301036857	MI

General Provider Information

NPI Number	:	1235137993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARSENIO TENORIO PARIAL M.D.

Provider Business Mailing Address
First Line	:	600 S LAKEVIEW AVE
Second Line	:	SUITE 102
City	:	STURGIS
State	:	MI
Zip	:	49091
Country	:	US
Telephone Number	:	269-651-7808
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 S LAKEVIEW AVE
Second Line	:	SUITE 102
City	:	STURGIS
State	:	MI
Zip	:	49091
Country	:	US
Telephone Number	:	269-651-7808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/13/2010

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