Individual
MATTHEW W MITSCHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
377 KEAHOLE ST, HONOLULU, HI 96825-3405
(808) 691-8200
Mailing address
377 KEAHOLE ST, HONOLULU, HI 96825-3405
(808) 691-8200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16648
NH
207Q00000X
Family Medicine Physician
Primary
MD-22122
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770854028
—
ME
05
—
3097844
—
NH
Enumeration date
01/18/2012
Last updated
07/27/2022
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