Provider Demographics
NPI:1538334768
Name:MARC S ARNKOFF M D AND GREGORY L. WEIGLER D O P C
Entity type:Organization
Organization Name:MARC S ARNKOFF M D AND GREGORY L. WEIGLER D O P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:S
Authorized Official - Last Name:ARNKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-569-3009
Mailing Address - Street 1:26400 W 12 MILE RD
Mailing Address - Street 2:SUITE 70
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1700
Mailing Address - Country:US
Mailing Address - Phone:248-596-3009
Mailing Address - Fax:248-569-0670
Practice Address - Street 1:26400 W 12 MILE RD
Practice Address - Street 2:SUITE 70
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1700
Practice Address - Country:US
Practice Address - Phone:248-596-3009
Practice Address - Fax:248-569-0670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty