Wailea Medical Group LLC
Wailea Medical Group LLC is an Internal Medicine Physician in Wailea, Hawaii. Licensed in Hawaii. Registered with an NPI since 2006.
- Licensed in
- HI
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
161 Wailea Ike Pl #B102Wailea, HI 96753-6521
Phone: (808) 875-9095
Fax: (808) 875-9098
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 3915 (HI) |
|---|
Record details
| NPI number | 1497769988 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Park — M.D. · (808) 875-9095 |
| NPI enumerated | July 28, 2006 |
| Last updated in NPPES | September 16, 2015 |
| Mailing address | 161 Wailea Ike Pl, B-102, Wailea, HI 96753-6521 |
Other providers in Wailea
-
Irving W Harper III, MD
161 Wailea Ike Pl Ste A104, Wailea, HI 96753-6502 · (808) 874-5141
-
Dr. Michael S Jackowitz, DO
100 Wailea Ike Dr Urgent Care, Wailea, HI 96753-9524 · (808) 281-6580