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Contact Information

KATHRYN WISTAR, MD
47 MAIN ST
COOPERS MILLS, ME04341
 Phone: 207-549-7581
 Fax: 207-549-3439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KATHRYN WISTAR · (Female)

NPI # 1720175599
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 05/04/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • ME License # 017250
Hospital affiliation(s)
  • MAINE GENERAL MEDICAL CENTER - (Acute Care)
    35 MEDICAL CENTER PARKWAY
    AUGUSTA, ME 04330
  • ST ANDREWS HOSPITAL (LINCOLN COUNTY HEALTHCARE) - (Critical Access)
    6 ST ANDREWS LANE - PO BOX 417
    BOOTHBAY HARBOR, ME 04538
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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