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Individual

MICHAEL DEVISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
888 S KING ST, HONOLULU, HI 96813-3009
(808) 522-4000
Mailing address
500 WESTOVER DR # 31529, SANFORD, NC 27330-8941
(601) 389-7856

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01081653A
IN
207P00000X
Emergency Medicine Physician
Primary
036149046
IL

Other

Enumeration date
06/02/2015
Last updated
06/04/2026
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