Individual
DR. ALEXANDER STANTON JAHNCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6905 HARRIS AVE, KAILUA, HI 96734
(808) 257-3100
Mailing address
MARINE AIRCRAFT GROUP 24, BOX 63047, KANEOHE, HI 96744
(088) 257-7602
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101271501
VA
208D00000X
General Practice Physician
Primary
0101271501
VA
Other
Enumeration date
03/26/2019
Last updated
11/08/2022
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