Individual
DR. ELIZABETH WRIGHT SCHUSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 DICKENSON ST STE 103, LAHAINA, HI 96761-1215
(808) 662-5642
(808) 662-5642
Mailing address
28 PUAPAKE PL APT 1, LAHAINA, HI 96761-3209
(808) 662-5642
(808) 662-5642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD6743
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191746I1
PIN
HI
01
—
260031934
TAX ID
HI
05
—
52799701
—
HI
01
—
C063705
HMSA
HI
Enumeration date
02/15/2007
Last updated
07/08/2007
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