# MAUI WELLNESS MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083230619
- **Authorized official:** MARCUS L. GRIFFIN MD (PHYSICIAN / OWNER)
- **Authorized official phone:** (808) 283-2537

## Contact information

- **Practice address:** 1300 N HOLOPONO ST, KIHEI, HI 96753-6945
- **Practice address phone:** (808) 446-7111
- **Practice address fax:** (888) 253-5668
- **Mailing address:** 1300 N HOLOPONO ST, KIHEI, HI 96753-6945
- **Mailing address phone:** (808) 446-7111
- **Mailing address fax:** (888) 253-5668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2020
- **Last updated:** 07/13/2020