Individual
DR. EVAN M GROSJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
770 KAPIOLANI BLVD, SUITE 705, HONOLULU, HI 96813-5212
(412) 610-5990
Mailing address
2611 ALA WAI BLVD, APT 1503, HONOLULU, HI 96815-3981
(412) 610-5990
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18083
HI
207P00000X
Emergency Medicine Physician
MD450220
PA
207P00000X
Emergency Medicine Physician
MT199732
PA
Other
Enumeration date
06/20/2011
Last updated
11/11/2015
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