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Individual

DR. DON L HALOUSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
(808) 242-4210
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19634
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01121668
NY
05
01196344
CO
05
0597948
IA
05
104693065
MI
05
117233600
WY
05
1558348359
UT
05
200418170A
KS
01
300064090
RR MCRE MIC
CO
01
300064740
RR MCRE RIA
CO
01
300090374
RR MCRE DIA
CO
05
8493017
WA
05
922600
AZ
05
XPY204749
CA
Enumeration date
12/22/2005
Last updated
09/09/2010
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