Individual provider · NPI-1

Dr. Gina Arnold, MD

Family Medicine · Madison, WI

NPI number1508326372

StatusActive

Last updated in NPPESAug 4, 2022

Details

NPI: 1508326372
Entity type: Individual (NPI-1)
Name: Dr. Gina Arnold
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Mar 20, 2019
Certification date: Aug 4, 2022
Last updated: Aug 4, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	77199-20	WI	Yes
390200000X	Student in an Organized Health Care Education/Training Program	TL.0007490	CO

Other names

Gina Phillips (Former Name)

Practice location

5618 Odana Rd
Madison, WI 53719-1208

Phone 608-274-1100

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

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