Provider Demographics
NPI:1790784981
Name:VANVRANKEN, ARTHUR E (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:E
Last Name:VANVRANKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:GRACEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56240-0157
Mailing Address - Country:US
Mailing Address - Phone:320-748-7243
Mailing Address - Fax:320-748-8204
Practice Address - Street 1:115 W 2ND ST
Practice Address - Street 2:
Practice Address - City:GRACEVILLE
Practice Address - State:MN
Practice Address - Zip Code:56240-4845
Practice Address - Country:US
Practice Address - Phone:320-748-7243
Practice Address - Fax:320-748-8204
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN35529207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN274077000Medicaid
MN8T203VAOtherBLUE CROSS BLUE SHIELD MN
MND26368Medicare UPIN
MN274077000Medicaid