Individual provider · NPI-1

John Edwin Arneson

Clinic/Center · Waukesha, WI

NPI number1437867199
StatusActive
Last updated in NPPESNov 11, 2022

Details

NPI
1437867199
Entity type
Individual (NPI-1)
Name
John Edwin Arneson
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 11, 2022
Certification date
Nov 11, 2022
Last updated
Nov 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

S22w22660 Broadway Ste 5
Waukesha, WI 53186-8100

Phone 414-207-4686

Mailing address

S22w22660 Broadway Ste 5
Waukesha, WI 53186-8100

Phone 414-207-4686

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