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Individual
SAMUEL J ARNOLD
Active
Individual
SAMUEL J ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39295
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702245
MEDICA
MN
01
—
34454300
MEDICAID
WI
01
—
57F15AR
BLUE CROSS BLUE SHIELD
MN
01
—
646501
ARAZ
MN
01
—
NA3501013511
PREFERRED ONE
MN
Enumeration date
06/27/2006
Last updated
07/08/2007
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