Individual
DR. ALICIA CHRISTINE ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2715 W FRANK ST, EAU CLAIRE, WI 54703-2593
(715) 834-5511
(715) 834-5870
Mailing address
2715 W FRANK ST, EAU CLAIRE, WI 54703-2593
(715) 834-5511
(715) 834-5870
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
224345
MA
2085R0202X
Diagnostic Radiology Physician
Primary
53198
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005237
—
WI
01
—
202050026
MEDICARE PTAN
WI
01
—
300005227
MEDICARE PTAN
MN
01
—
51656
MN MEDICAL LICENSE
MN
01
—
53198
WI MEDICAL LICENSE
WI
01
—
550300016
MEDICARE PTAN
WI
Enumeration date
11/16/2006
Last updated
12/02/2009
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