Individual
DR. WENDELL K. S. FOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 KILANI AVE, WAHIAWA, HI 96786-1904
(808) 621-8448
(808) 621-2082
Mailing address
4348 WAIALAE AVE 5-311, HONOLULU, HI 96816-5767
(808) 373-4007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-4923
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025354-01
—
HI
01
—
191559/01
HMA/SUMMERLIN PROV. #
HI
01
—
2821-7
HMSA PROV. # - HI
HI
01
—
H0000BDNKQ
MEDICARE ID
HI
Enumeration date
07/12/2006
Last updated
09/01/2015
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