Provider Demographics
NPI:1598779514
Name:ARNOLD, NEIL I (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:I
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1120 NORTHWOOD DR
Mailing Address - Street 2:APT 229
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-2063
Mailing Address - Country:US
Mailing Address - Phone:651-452-3838
Mailing Address - Fax:
Practice Address - Street 1:1687 WOODLANE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-3045
Practice Address - Country:US
Practice Address - Phone:651-209-6263
Practice Address - Fax:651-209-6264
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN17689207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA96277Medicare UPIN