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Contact Information

STEPHEN M WALSH, MD
78 RIDGEWOOD DR
BANGOR, ME04401-2652
 Phone: 207-307-8901
 Fax: 207-307-8911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STEPHEN M WALSH · (Male)

NPI Number 1386690501
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 07/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036115376
  • ME License # 17389
  • ME Medicaid 432654299
  • Other P00460654 RR MEDICARE
Hospital affiliation(s)
  • EASTERN MAINE MEDICAL CENTER - (Acute Care)
    489 STATE ST, PO BOX 404
    BANGOR, ME 04401
  • MAINE COAST MEMORIAL HOSPITAL - (Acute Care)
    50 UNION STREET
    ELLSWORTH, ME 04605
  • SEBASTICOOK VALLEY HOSPITAL (HEALTH) - (Critical Access)
    447 NORTH MAIN STREET
    PITTSFIELD, ME 04967
  • ST JOSEPH HOSPITAL - (Acute Care)
    360 BROADWAY
    BANGOR, ME 04401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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