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NPI Code Detail

MEDICARE: CONSTANCE G ARNOLD M.D.

MEDICARE: CONSTANCE G ARNOLD 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
12086S0122XPlastic and Reconstructive Surgery PhysicianCA041217MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20529746OTHERMIBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1831196401
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONSTANCE G ARNOLD M.D.
Provider Business Mailing Address
First Line : 2837 US HIGHWAY 41 W
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-2252
Country : US
Telephone Number : 906-225-3964
Fax Number : 906-226-3875
Provider Business Practice Location Address
First Line : 580 W COLLEGE AVE
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-2705
Country : US
Telephone Number : 906-225-7945
Fax Number : 906-225-7818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 10/05/2007

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