Basic Information
| Provider Information | |||||||||
| NPI: | 1679658579 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARNE | ||||||||
| FirstName: | BRIAN | ||||||||
| MiddleName: | DOUGLAS | ||||||||
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| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 PLYMOUTH RD | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | MINNETONKA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553052366 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9525410200 | ||||||||
| FaxNumber: | 9526973037 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 PLYMOUTH RD | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | MINNETONKA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553052366 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9525410200 | ||||||||
| FaxNumber: | 9526973037 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 002309 | MN | Y | Chiropractic Providers | Chiropractor |
ID Information
| ID | Type | State | Issuer | Description | 230038 | 01 | MN | MEDICA, HEALTHPARTNERS | OTHER |