Individual
DR. CORNELIUS ARNOLD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-4511
Mailing address
9724 BANBURY PL, MUNSTER, IN 46321-9125
(219) 922-1202
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01032158A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000278479
ANTHEM BCBS
IN
05
—
036053856
—
IL
05
—
100095500
—
IN
01
—
90001082
IL BCBS
IL
01
—
930128579
MEDICARE RAILROAD
IN
Enumeration date
01/23/2006
Last updated
04/29/2010
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