Individual
MRS. IRMINNE GELDERLOOS VAN DYKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12890
ND
208600000X
Surgery Physician
TRL 10940
ND
Other
Enumeration date
07/08/2008
Last updated
05/07/2021
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