Individual
J. GLENN HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1830 WELLS ST, STE 101, WAILUKU, HI 96793-2365
(808) 244-3200
(808) 244-9793
Mailing address
1830 WELLS ST, STE 101, WAILUKU, HI 96793-2365
(808) 244-3200
(808) 244-9793
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
3041
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS8366
MEDICARE RAILROAD
HI
Enumeration date
01/26/2006
Last updated
12/20/2010
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