Individual
AARON SCHUYLER WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 KANOA ST STE 101, WAILUKU, HI 96793-5816
(808) 244-5999
(808) 244-1295
Mailing address
71 KANOA ST STE 101, WAILUKU, HI 96793-5816
(808) 244-5999
(808) 244-1295
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125.076044
IL
207Y00000X
Otolaryngology Physician
Primary
MD-25250
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2020
Last updated
05/28/2025
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