| Elizabeth E Mannick Md A Professional Corporation | |
|
39 Kamehameha Ave Suite B Kahului HI 96732-2263 | |
| (808) 877-2424 | |
| (808) 877-6464 |
| Full Name | Elizabeth E Mannick Md A Professional Corporation |
|---|---|
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 39 Kamehameha Ave, Kahului, Hawaii |
| Authorized Official Name and Position | Elizabeth E Mannick (PRESIDENT) |
| Authorized Official Contact | 8088772424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth E Mannick Md A Professional Corporation 1630b Piiholo Rd Makawao HI 96768-7244 Ph: (808) 283-3330 | Elizabeth E Mannick Md A Professional Corporation 39 Kamehameha Ave Suite B Kahului HI 96732-2263 Ph: (808) 877-2424 |
| NPI Number | 1467611939 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 01/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467611939 | NPI | - | NPPES |
| 1306879747 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | HI 13829 (Hawaii) | Secondary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | HI 13829 (Hawaii) | Primary |
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