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Individual

DR. MICHAEL S JACKOWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 WAILEA IKE DR, URGENT CARE, WAILEA, HI 96753-9524
(808) 281-6580
(808) 244-4418
Mailing address
100 WAILEA IKE DR, URGENT CARE, WAILEA, HI 96753-9524
(808) 281-6580
(808) 244-4418

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
190476
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02080968
NY
Enumeration date
12/13/2010
Last updated
05/26/2014
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