Provider Demographics
NPI:1124012661
Name:ARNOLD, DANIEL J (MD)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:J
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1414 W FAIR AVE
Mailing Address - Street 2:SUITE 332
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-2675
Mailing Address - Country:US
Mailing Address - Phone:906-225-3922
Mailing Address - Fax:906-225-4527
Practice Address - Street 1:1414 W FAIR AVE
Practice Address - Street 2:SUITE 332
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-2675
Practice Address - Country:US
Practice Address - Phone:906-225-3922
Practice Address - Fax:906-225-4527
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2007-11-01
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Provider Licenses
StateLicense IDTaxonomies
MI4301041218207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3145567Medicaid
MI11059055OtherRAILROAD MEDICARE
MI110E21002OtherBLUE CROSS BLUE SHIELD
MI3145567Medicaid
A73771Medicare UPIN