Provider Demographics
NPI:1861570228
Name:ARSEN, JOHN D (DPM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:ARSEN
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:1251 S LAPEER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1414
Mailing Address - Country:US
Mailing Address - Phone:248-693-7700
Mailing Address - Fax:248-693-3032
Practice Address - Street 1:1251 S LAPEER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1414
Practice Address - Country:US
Practice Address - Phone:248-693-7700
Practice Address - Fax:248-693-3032
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2008-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5901400164213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1748428Medicaid
MI0F32058OtherBCBS
MI1748428Medicaid
MIP53720001Medicare PIN
MIT34193Medicare UPIN