Provider Demographics
NPI:1598816043
Name:GRIEF, MARK WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:WAYNE
Last Name:GRIEF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:98-1079 MOANALUA RD
Mailing Address - Street 2:STE 580
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4713
Mailing Address - Country:US
Mailing Address - Phone:808-488-7797
Mailing Address - Fax:808-487-2764
Practice Address - Street 1:98-1079 MOANALUA RD
Practice Address - Street 2:STE 580
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4713
Practice Address - Country:US
Practice Address - Phone:808-488-7797
Practice Address - Fax:808-487-2764
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI6079208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIE-57474Medicare ID - Type Unspecified