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Dr. John Stanley Wichmann-walczak, MD
General Practice Physician in Waipahu, Hawaii
NPI 1356333736

John Stanley Wichmann-walczak is a General Practice Physician based in Waipahu, HI. John Stanley Wichmann-walczak practices in Waipahu, HI and has the professional credentials of MD. The NPI Number for John Stanley Wichmann-walczak is 1356333736 and holds a License No. MD2647 (Hawaii).

The current practice location address for John Stanley Wichmann-walczak is 94-837 Waipahu St, Waipahu, HI and can be reached out via phone at 808-671-3911 and via fax at 808-677-2720.

Location: 94-837 Waipahu St, Waipahu, HI, 96797-3320
person
Provider Profile Details
NPI Number
1356333736
Provider Name
John Stanley Wichmann-walczak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
94-837 Waipahu St, Waipahu, HI, 96797-3320
Phone Number
808-671-3911
Fax Number
808-677-2720
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013771-03 05 HI
00E001467-9 01 HI HMSA PROVIDER NUMBER
151218 01 MEDICARE PIN NUMBER
institution
Provider Business Practice Location Address Details
Address
94-837 Waipahu St
City
State
Zip
96797-3320
Phone Number
808-671-3911
Fax Number
808-677-2720
person
Provider Business Mailing Address Details
Address
94-837 Waipahu St
City
State
Zip
96797-3320
Phone Number
808-671-3911
Fax Number
808-677-2720
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD2647 (Hawaii)
Definition
Definition to come...
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