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Individual

DR. ANDRE JOEL ARSENAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016023437
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026591700
NE
05
1003253782
IA
05
1003253782
MO
05
201147790A
KS
01
P01703873
RR MEDCIARE
MO
Enumeration date
06/04/2013
Last updated
09/18/2017
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