Organization
AMY REISENAUER MD LLC
Active
Organization
AMY REISENAUER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KERSTEN REISENAUER M.D. (OWNER)
(808) 874-3444
Entity
Organization
Contact information
Practice address
1300 N HOLOPONO ST STE 215, KIHEI, HI 96753-6945
(808) 874-3444
Mailing address
1300 N HOLOPONO ST STE 215, KIHEI, HI 96753-6945
(808) 874-3444
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD13436
HI
Other
Enumeration date
10/25/2016
Last updated
07/21/2022
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