Individual
EDWARD WILLIAM GUTTELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
670 KEKUANAOA ST, HILO, HI 96720-4405
(808) 961-2609
(808) 969-3728
Mailing address
670 KEKUANAOA ST, HILO, HI 96720-4405
(808) 969-6152
(808) 969-3728
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD 7826
HI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD 7826
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073105-04
—
HI
Enumeration date
08/16/2006
Last updated
11/06/2020
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