Organization
MAUI UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE CARLSEN (ACTING ADMINISTRATOR)
(808) 242-8765
Entity
Organization
Contact information
Practice address
1883 MILL ST, WAILUKU, HI 96793-1236
(808) 242-8765
(808) 242-8769
Mailing address
1883 MILL ST, WAILUKU, HI 96793-1236
(808) 242-8765
(808) 242-9876
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/19/2019
Last updated
05/19/2019
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