Individual
DR. JONATHAN B. REDENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6000
Mailing address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6050
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
045109
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D400079343
—
CT
Enumeration date
02/19/2007
Last updated
07/21/2022
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