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Individual

MARTIN F DE BUEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
6650 HAWAII KAI DR, SUITE 101, HONOLULU, HI 96825-1100
(808) 396-8908
(808) 396-8909
Mailing address
1337 HIGHVIEW PLACE, HONOLULU, HI 96816
(808) 735-8416

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2162
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A0243517
HNL HMSA PPO/HMO/QST/65C
HI
01
00B0243515
TRICARE KAI
HI
01
00F0243516
HMSA MEDICARE @ HK DR
HI
01
00G0243514
HMSA MEDICARE HKRH
01
204196700
OWCP
HI
01
505170
HMA
HI
01
57146500
ALOHA CARE
HI
05
57146502
HI
05
57146503
HI
01
6476318
UHA 99-0332020
HI
01
99-0332020
HMAA
HI
01
P00315095
MEDICARE RAILROAD
HI
Enumeration date
10/03/2006
Last updated
07/21/2022
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