Individual
DR. MICHAEL BORNEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2228 LILIHA ST, 202, HONOLULU, HI 96817-1650
(808) 585-0741
(808) 585-0743
Mailing address
2228 LILIHA ST, 202, HONOLULU, HI 96817-1650
(808) 585-0741
(808) 585-0743
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD8759
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04724403
—
HI
01
—
53686
BCBS
HI
01
—
MD8759
QHP/MDX
HI
Enumeration date
07/13/2005
Last updated
03/16/2013
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