Individual
DR. CARRIE SUZANNE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
95-390 KUAHELANI AVE, MILILANI, HI 96789-1192
(808) 627-3230
Mailing address
3770 SIERRA DR APT A, HONOLULU, HI 96816-3866
(808) 779-5860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDR-5695
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MDR-5695
RESIDENT
HI
Enumeration date
05/28/2009
Last updated
05/28/2009
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