Individual
SAVANNAH RAE ERTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813
(808) 691-4311
Mailing address
770 KAPIOLANI BLVD STE 705, HONOLULU, HI 96813-5241
(808) 597-8778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3740-23
WISCONSIN MEDICAL BOARD
WI
01
—
AMD812
HAWAII MEDICAL BOARD
HI
Enumeration date
01/26/2016
Last updated
10/01/2024
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