# WAILEA MEDICAL CENTER & URGENT CARE

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

## Provider details

- **NPI number:** 1457606931
- **Authorized official:** DR. ANNELLE ONISHI M.D. (PHYSICIAN/SOLE PROPRIETOR)
- **Authorized official phone:** 80887483333

## Contact information

- **Practice address:** 161 WAILEA IKE PL STE D102, KIHEI, HI 96753-6523
- **Practice address phone:** (808) 874-8333
- **Practice address fax:** (808) 874-8330
- **Mailing address:** 161 WAILEA IKE PL STE D102, KIHEI, HI 96753-6523
- **Mailing address phone:** (808) 874-8333
- **Mailing address fax:** (808) 874-8330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11042 | HI | Yes |

## Other

- **Enumeration date:** 07/19/2012
- **Last updated:** 09/11/2014