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Individual
JONATHAN VAN ARSDALE
Active
Individual
JONATHAN VAN ARSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56755
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001-0104952
MEDICA
—
01
—
1225398498
BCBS
MN
05
—
1225398498
—
MN
01
—
P01224929
RR MEDICARE
—
Enumeration date
05/22/2012
Last updated
11/10/2020
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