Provider Demographics
NPI:1982969168
Name:JOSEPH A. ARENDS M.D. P.C.
Entity type:Organization
Organization Name:JOSEPH A. ARENDS M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ARENDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-879-5625
Mailing Address - Street 1:6448 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2244
Mailing Address - Country:US
Mailing Address - Phone:248-879-5625
Mailing Address - Fax:
Practice Address - Street 1:6448 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-2244
Practice Address - Country:US
Practice Address - Phone:248-879-5625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI276572083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIB47499Medicare UPIN
MI0630233Medicare PIN