Provider Demographics
NPI:1376583286
Name:ARENA, ARTHUR A (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:A
Last Name:ARENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4555 WEST SCHROEDER DRIVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223
Mailing Address - Country:US
Mailing Address - Phone:414-365-3210
Mailing Address - Fax:414-365-3225
Practice Address - Street 1:3237 S 16TH ST
Practice Address - Street 2:SUITE #206
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-4526
Practice Address - Country:US
Practice Address - Phone:414-385-7004
Practice Address - Fax:414-385-9246
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2008-03-24
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Provider Licenses
StateLicense IDTaxonomies
WI32710207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31791500Medicaid
A28772Medicare UPIN
WI31791500Medicaid