Individual
MICHAEL G BERUEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4324 LAAKEA ST, HONOLULU, HI 96818-1965
(808) 423-8645
(808) 423-7878
Mailing address
PO BOX 29082, HONOLULU, HI 96820-1482
(808) 423-8645
(808) 423-7878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
628381
—
HI
Enumeration date
01/29/2009
Last updated
01/29/2009
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