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Individual

DR. DAN HESLINGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2386 LILOA RISE, HONOLULU, HI 96822
(808) 729-1796
(808) 800-2318
Mailing address
2386 LILOA RISE, HONOLULU, HI 96822-1953
(808) 729-1796
(555) 555-5555

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5742
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02470501
HI
Enumeration date
06/20/2005
Last updated
07/03/2019
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