| Maui Wellness Medical Center Llc | |
|
1300 N Holopono St Kihei HI 96753-6945 | |
| (808) 446-7111 | |
| (888) 253-5668 |
| Full Name | Maui Wellness Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 N Holopono St, Kihei, Hawaii |
| Authorized Official Name and Position | Marcus L. Griffin (PHYSICIAN / OWNER) |
| Authorized Official Contact | 8082832537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maui Wellness Medical Center Llc 1300 N Holopono St Kihei HI 96753-6945 Ph: (808) 446-7111 | Maui Wellness Medical Center Llc 1300 N Holopono St Kihei HI 96753-6945 Ph: (808) 446-7111 |
| NPI Number | 1083230619 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 07/13/2020 |
| Medicare PECOS PAC ID | 8527481548 |
|---|---|
| Medicare Enrollment ID | O20200709002653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083230619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcus L Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780774174 PECOS PAC ID: 7618868332 Enrollment ID: I20100927000376 |
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