Wilson Internal Medicine, LLC

NPI #1447666821 in Kailua, Hawaii

Provider Information

NPI Number: 1447666821
Entity Type: Organization
Organization Name: Wilson Internal Medicine, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 7, 2014
Last Updated: Jul 7, 2014

Practice Location

Address: 640 ULUKAHIKI ST
Address 2: SUITE 103
City: Kailua
State: Hawaii
ZIP Code: 96734-4454
Phone: (808) 263-5174

Authorized Official

Name: DR. MARIA WILSON, M.D.
Title: SOLE MANAGING MEMBER
Phone: (808) 646-9429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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