Individual
ARNE E MICHALSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M6791
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1139163
CIGNA MEDICARE - RANI
IL
05
—
804222000
—
ID
05
—
8218687
—
WA
01
—
990009470
RR MEDICARE
ID
01
—
B1261
BC ID - PF
ID
01
—
DM032
BC ID - RANI
ID
01
—
DM321
BC ID - CDA
ID
01
—
P00093985
RR MEDICARE - RANI
ID
Enumeration date
08/11/2005
Last updated
02/24/2012
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