Individual
DR. MICHAEL W. BESHONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
79-1019 HAUKAPILA ST, KEALAKEKUA, HI 96750-7920
(808) 547-9593
(808) 599-2714
Mailing address
PO BOX 382, CAPTAIN COOK, HI 96704-0382
(808) 328-9129
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD 5803
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02433104
—
HI
01
—
A0027118
SHIELD/HMSA
HI
Enumeration date
06/16/2006
Last updated
09/01/2009
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