Individual
DR. ADAM JOSEPH GRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
55-515 HAWI RD, HAWI, HI 96719-9997
(808) 960-3311
(866) 263-1889
Mailing address
PO BOX 820, KAPAAU, HI 96755-0820
(808) 854-1684
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DOS-1090
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E07702
CERTIFICATE OF REGISTRATION FOR CONTROLLED SUBSTANCES
HI
Enumeration date
03/07/2007
Last updated
03/07/2023
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