| David G Seriguchi, Md Inc | |
|
1931 E Vineyard St Suite 102 Wailuku HI 96793-1700 | |
| (808) 242-5544 | |
| (808) 242-0068 |
| Full Name | David G Seriguchi, Md Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1931 E Vineyard St, Wailuku, Hawaii |
| Authorized Official Name and Position | David G Seriguchi (PRESIDENT) |
| Authorized Official Contact | 8082425544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David G Seriguchi, Md Inc 1931 E Vineyard St Suite 102 Wailuku HI 96793-1700 Ph: (808) 242-5544 | David G Seriguchi, Md Inc 1931 E Vineyard St Suite 102 Wailuku HI 96793-1700 Ph: (808) 242-5544 |
| NPI Number | 1457548596 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457548596 | NPI | - | NPPES |
| 01941401 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 5286 (Hawaii) | Primary |
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