# BETTINA HAERER MD LLC

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

## Provider details

- **NPI number:** 1518677244
- **Authorized official:** DR. BETTINA HAERER MD (OWNER)
- **Authorized official phone:** (808) 264-1729

## Contact information

- **Practice address:** 3660 BALDWIN AVE, MAKAWAO, HI 96768-7503
- **Practice address phone:** (808) 573-2233
- **Mailing address:** PO BOX 1388, HAIKU, HI 96708-1388
- **Mailing address phone:** (808) 264-1728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2022
- **Last updated:** 12/05/2022