Individual
DR. MARK HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207V00000X
Obstetrics & Gynecology Physician
125-050681
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-19168
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036123631
IL LICENSE
IL
01
—
125-050681
TEMPORARY LICENSE NUMBER
IL
Enumeration date
06/13/2007
Last updated
05/26/2021
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