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Individual

GLEN DOUGLAS FRISCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1580 MAKALOA ST, STE 660, HONOLULU, HI 96814-3237
(808) 979-7047
Mailing address
1670 MAKALOA ST, STE 204-202, HONOLULU, HI 96814-3232
(808) 979-7047

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD - 12082
HI
2084P0800X
Psychiatry Physician
R1H80
MO

Other

Enumeration date
03/14/2013
Last updated
03/14/2013
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