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Individual

DR. AMY K REISENAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1300 N HOLOPONO ST STE 215, KIHEI, HI 96753-6945
(808) 874-3444
(808) 874-3443
Mailing address
1300 N HOLOPONO ST STE 215, KIHEI, HI 96753-6945
(808) 874-3444
(808) 874-3443

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
MD-13436
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000255125
HMSA BILLING NUMBER
HI
05
572710-01
HI
Enumeration date
09/25/2006
Last updated
08/30/2019
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