Provider Demographics
NPI:1114914439
Name:ARNOLD, JAMES MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:MICHAEL
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:835 S. MAIN ST.
Mailing Address - Street 2:CENTER FOR WOMEN'S CARE
Mailing Address - City:OCNTO FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54154-1241
Mailing Address - Country:US
Mailing Address - Phone:920-846-9995
Mailing Address - Fax:920-846-9995
Practice Address - Street 1:835 S MAIN ST
Practice Address - Street 2:CENTER FOR WOMEN'S CARE
Practice Address - City:OCONTO FALLS
Practice Address - State:WI
Practice Address - Zip Code:54154-1282
Practice Address - Country:US
Practice Address - Phone:920-846-9995
Practice Address - Fax:920-846-9995
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI29332020207V00000X
MI4301085253207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31419600Medicaid
WI001540165Medicare Oscar/Certification
WI160052939Medicare Oscar/Certification
D03109Medicare UPIN
WI000140160Medicare Oscar/Certification