Individual
MR. MICHAEL D ARIZOLA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915
(920) 730-7690
(920) 730-2655
Mailing address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 730-6700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1526
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41964900
—
WI
Enumeration date
09/06/2005
Last updated
01/17/2014
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