Individual
MRS. SUSAN S STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
MAUI MEDICAL GROUP, 2180 MAIN STREET, WAILUKU, HI 96793
(808) 242-6464
(808) 244-0603
Mailing address
MAUI MEDICAL GROUP, 2180 MAIN STREET, WAILUKU, HI 96793
(808) 242-6464
(808) 244-0603
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
003587
GA
363AM0700X
Medical Physician Assistant
Primary
AMD-974
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00211373D
—
GA
Enumeration date
05/23/2005
Last updated
07/31/2020
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