Brian I. Watanabe, M.d., Inc.

NPI #1194975516 in Wailuku, Hawaii

Provider Information

NPI Number: 1194975516
Entity Type: Organization
Organization Name: Brian I. Watanabe, M.d., Inc.
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Sep 22, 2008
Last Updated: Sep 22, 2008

Practice Location

Address: 1885 MAIN ST
Address 2: SUITE 205
City: Wailuku
State: Hawaii
ZIP Code: 96793-1819
Phone: (808) 244-6776

Authorized Official

Name: DR. BRIAN I. WATANABE, M.D.
Title: PRESIDENT / OWNER
Phone: (808) 244-6776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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