Individual
DR. ERIC WILLIAM WORTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3994 PAI ST, KALAHEO, HI 96741-9592
(808) 332-6314
(808) 332-6314
Mailing address
3994 PAI ST, KALAHEO, HI 96741-9592
(808) 332-6314
(808) 332-6314
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8883
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04482401
—
HI
Enumeration date
08/18/2006
Last updated
08/13/2011
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