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Individual

WILEY BRUNEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
642 ULUKAHIKI ST STE 203, KAILUA, HI 96734-4418
(808) 678-2211
Mailing address
642 ULUKAHIKI ST STE 203, KAILUA, HI 96734-4418
(808) 678-2211

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD7357
HI
2086S0105X
Surgery of the Hand (Surgery) Physician
MD7357
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06157701
HI
Enumeration date
10/23/2006
Last updated
07/15/2013
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