| Wilson Internal Medicine, Llc | |
|
640 Ulukahiki St Suite 103 Kailua HI 96734-4454 | |
| (808) 263-5174 | |
| (808) 266-3614 |
| Full Name | Wilson Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 Ulukahiki St, Kailua, Hawaii |
| Authorized Official Name and Position | Maria Wilson (SOLE MANAGING MEMBER) |
| Authorized Official Contact | 8086469429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Internal Medicine, Llc 640 Ulukahiki St Suite 103 Kailua HI 96734-4454 Ph: (808) 263-5174 | Wilson Internal Medicine, Llc 640 Ulukahiki St Suite 103 Kailua HI 96734-4454 Ph: (808) 263-5174 |
| NPI Number | 1447666821 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447666821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD-12951 (Hawaii) | Primary |
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Christian W. Boyens, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Aulike Street, Suite # 217, Kailua, HI 96734 Phone: 808-263-1330 Fax: 808-263-1335 | |
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