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NPI Code Detail

MEDICARE: MARIE ARNAL D.O.

MEDICARE:   MARIE  ARNAL  D.O.
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
12085R0202XDiagnostic Radiology Physician20A7787CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CG1263OTHERCARAILROAD MEDICARE
3P01045170OTHERRR MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1548351000
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE ARNAL D.O.
Provider Business Mailing Address
First Line : 2200 N MAYFAIR RD STE 200
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-2252
Country : US
Telephone Number : 414-258-9511
Fax Number : 414-607-3946
Provider Business Practice Location Address
First Line : 1509 WILSON TERRACE
Second Line :
City : GLENDALE
State : CA
Zip : 91206-4007
Country : US
Telephone Number : 818-409-8000
Fax Number : 909-469-6741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 03/03/2026

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