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NPI Code Detail

MEDICARE: DR. MARY L ARVANITIS DO

MEDICARE:  DR. MARY L ARVANITIS  DO
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
1207P00000XEmergency Medicine Physician5101011116MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10157300405OTHERBC/BS OF MICHIGAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295722841
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY L ARVANITIS DO
Provider Business Mailing Address
First Line : 1447 N HARRISON ST
Second Line :
City : SAGINAW
State : MI
Zip : 48602-4727
Country : US
Telephone Number : 989-583-6122
Fax Number :
Provider Business Practice Location Address
First Line : 900 COOPER ST
Second Line :
City : SAGINAW
State : MI
Zip : 48602-4727
Country : US
Telephone Number : 989-583-6122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 03/26/2021

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