Provider Demographics
NPI:1922180116
Name:SLUNGAARD, ARNE (MD)
Entity Type:Individual
Prefix:
First Name:ARNE
Middle Name:
Last Name:SLUNGAARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:612-626-2663
Mailing Address - Fax:
Practice Address - Street 1:516 DELAWARE ST SE
Practice Address - Street 2:PWB FIFTH FLOOR, SUITE 5-100, CLINIC 5B
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0356
Practice Address - Country:US
Practice Address - Phone:612-626-2663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN25094207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2T181SLOtherBLUE CROSS BLUE SHIELD
MN36-00277OtherMEDICA CHOICE
MN1009311OtherPREFERRED ONE
MN101513OtherUCARE
MN715765700Medicaid
MNHP22801OtherHEALTH PARTNERS
MN36-74565OtherMEDICA PRIMARY
MN768351OtherARAZ
830000121Medicare ID - Type Unspecified
MN1009311OtherPREFERRED ONE
MN715765700Medicaid