Most Relevant Information
Provider Data
| NPI Number: | 1194728139 |
| Provider Name: | SUSAN S STEWART P.A.-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 3587 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 07/31/2020 |
Provider Practice Location
MAUI MEDICAL GROUP
2180 MAIN STREET
WAILUKU
HI
96793
Practice Location Phone/Fax
| Phone: | 8082426464 |
| Fax: | 8082440603 |
Provider Mailing Location
MAUI MEDICAL GROUP
2180 MAIN STREET
WAILUKU
HI
96793
Provider Mailing Phone/Fax
| Phone: | 8082426464 |
| Fax: | 8082440603 |