Organization
WILSON INTERNAL MEDICINE, LLC
Active
Other names
Wilson Internal Medicine, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA WILSON M.D. (SOLE MANAGING MEMBER)
(808) 646-9429
Entity
Organization
Contact information
Practice address
640 ULUKAHIKI ST, SUITE 103, KAILUA, HI 96734-4454
(808) 263-5174
(808) 266-3614
Mailing address
640 ULUKAHIKI ST, SUITE 103, KAILUA, HI 96734-4454
(808) 263-5174
(808) 266-3614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-12951
HI
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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