Individual
DR. MARK DAVID LIPETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 E LIPOA STREET, SUITE 22, KIHEI, HI 96753
(808) 891-1177
(808) 891-2255
Mailing address
535 KUPULAV DRIVE, KIHEI, HI 96753
(808) 874-1872
(808) 874-5590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10263
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08885703
—
HI
01
—
B0222659
HMSA
HI
Enumeration date
11/15/2006
Last updated
07/08/2007
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