Individual
SUSAN DRELICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 S BERETANIA ST, #215, HONOLULU, HI 96814-1520
(808) 532-3711
(808) 532-3713
Mailing address
2486 WAIPUA ST, PAIA, HI 96779-9748
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD11125
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000225094
HMSA
—
01
—
494732-01
ACS
—
01
—
A022
CHAMPUS TRICARE
—
Enumeration date
06/19/2006
Last updated
07/08/2007
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