Healthcare Provider Details

I. General information

NPI: 1760592729
Provider Name (Legal Business Name): ROBERT W. SCHULZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S KING ST
HONOLULU HI
96813-3009
US

IV. Provider business mailing address

888 S KING ST STRAUB DEPARTMENT OF PLASTIC SURGERY
HONOLULU HI
96813-3097
US

V. Phone/Fax

Practice location:
  • Phone: 808-522-4000
  • Fax: 808-522-4371
Mailing address:
  • Phone: 808-522-4000
  • Fax: 808-522-4371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMD-2354
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: