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Individual

DR. MICHAEL TREECE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1178 KINOOLE ST, HILO, HI 96720-7206
(808) 961-4082
Mailing address
450 KILAUEA AVE, SUITE 105, HILO, HI 96720-3089

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A55157
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A55157
MEDICAL LICENSE
CA
Enumeration date
07/20/2006
Last updated
06/28/2016
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