Individual
DR. GLENN M STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46-001 KAMEHAMEHA HWY, SUITE 410, KANEOHE, HI 96744-3711
(808) 235-3696
Mailing address
46-001 KAMEHAMEHA HWY, SUITE 410, KANEOHE, HI 96744-3711
(808) 235-3696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2681
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035452 01
—
HI
Enumeration date
09/21/2006
Last updated
07/08/2007
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