Individual
DR. DOROTHY M IWANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-1000
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS9437
FL
208M00000X
Hospitalist Physician
Primary
DOS-2103
HI
208M00000X
Hospitalist Physician
OS9437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273606300
—
FL
01
—
U5832T
MEDICARE
FL
Enumeration date
08/18/2006
Last updated
06/09/2021
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