Individual
MR. MICHAEL IVAN ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
328 W BIROS LN, ROUND LAKE, IL 60073-5607
(760) 805-6207
Mailing address
115 NEW CASTLE DR, JACKSONVILLE, NC 28540-4118
(760) 805-6207
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
07/19/2012
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