Individual
MARC BRIAN SHLACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55-510 KAMEHAMEHA HWY, LAIE, HI 96762-1138
(808) 293-8558
(808) 293-2573
Mailing address
55-510 KAMEHAMEHA HWY, LAIE, HI 96762-1138
(808) 293-8558
(808) 293-2573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2017
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000034553
HMSA QUEST NUMBER
HI
05
—
03110701
—
HI
01
—
034553
HMSA NUMBER
HI
01
—
2663
DMBA
HI
Enumeration date
10/03/2006
Last updated
08/19/2008
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