Individual
STEFANIE MIDORI PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
347 N KUAKINI ST, HONOLULU, HI 96817-2336
(808) 536-2236
Mailing address
3175 KAIMUKI AVE, HONOLULU, HI 96816-1420
(808) 753-1686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14109
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594300
—
HI
Enumeration date
03/28/2007
Last updated
11/20/2007
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