Provider Demographics
NPI:1326213786
Name:ARNOLD MARKOWITZ, M.D., P.C.
Entity Type:Organization
Organization Name:ARNOLD MARKOWITZ, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-681-0360
Mailing Address - Street 1:2112 CASS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:KEEGO HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48320-1272
Mailing Address - Country:US
Mailing Address - Phone:248-681-0360
Mailing Address - Fax:248-681-6749
Practice Address - Street 1:2112 CASS LAKE RD
Practice Address - Street 2:
Practice Address - City:KEEGO HARBOR
Practice Address - State:MI
Practice Address - Zip Code:48320-1272
Practice Address - Country:US
Practice Address - Phone:248-681-0360
Practice Address - Fax:248-681-6749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1088452Medicaid
MI1088452Medicaid
MIOP56930Medicare PIN