Provider Demographics
NPI:1063615292
Name:DR RONALD Z ARNOLD SC
Entity type:Organization
Organization Name:DR RONALD Z ARNOLD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PODIATRIC MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:Z
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:414-354-2240
Mailing Address - Street 1:5600 W BROWN DEER RD
Mailing Address - Street 2:101
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223-2346
Mailing Address - Country:US
Mailing Address - Phone:414-354-2240
Mailing Address - Fax:414-354-2379
Practice Address - Street 1:5600 W BROWN DEER RD
Practice Address - Street 2:101
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-2346
Practice Address - Country:US
Practice Address - Phone:414-354-2240
Practice Address - Fax:414-354-2379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI0361-025213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI432001000Medicaid
WI0965530001Medicare NSC
WI00086480Medicare ID - Type Unspecified
WI432001000Medicaid
WIDC8155Medicare PIN