Provider Demographics
NPI:1932108479
Name:MARKOWITZ, ARNOLD (MD)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:
Last Name:MARKOWITZ
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 1:2112 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
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2008-06-02
Deactivation Date:2006-03-18
Deactivation Code:
Reactivation Date:2006-03-23
Provider Licenses
StateLicense IDTaxonomies
MIAM030664207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1106303171OtherBCBS
MI1088452Medicaid
MIP56930001Medicare PIN
MI1088452Medicaid