Maui Urology, LLC

NPI #1073179669 in Wailuku, Hawaii

Provider Information

NPI Number: 1073179669
Entity Type: Organization
Organization Name: Maui Urology, LLC
Primary Specialty: Urology
Enumeration Date: May 19, 2019
Last Updated: May 19, 2019

Practice Location

Address: 1883 MILL ST
City: Wailuku
State: Hawaii
ZIP Code: 96793-1236
Phone: (808) 242-8765

Authorized Official

Name: MRS. STEPHANIE CARLSEN
Title: ACTING ADMINISTRATOR
Phone: (808) 242-8765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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