MEDICARE: DR. MICHAEL GREGORY DUICK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	MD13018	HI

General Provider Information

NPI Number	:	1013939008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL GREGORY DUICK MD

Provider Business Mailing Address
First Line	:	PO BOX 240724
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96824-0724
Country	:	US
Telephone Number	:	808-543-1188
Fax Number	:	808-543-1189

Provider Business Practice Location Address
First Line	:	1783 PIIKEA ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96818-1849
Country	:	US
Telephone Number	:	808-543-1188
Fax Number	:	808-543-1189

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	09/17/2020

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