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Contact Information

ERIC WISE, MD
1365 BROADWAY
BANGOR, ME04401-2401
 Phone: 207-942-6226
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ERIC WISE · (Male)

NPI # 1487917704
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2012
Last updated 01/18/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # MD21551
Hospital affiliation(s)
  • BLUE HILL MEMORIAL HOSPITAL - (Critical Access)
    57 WATER STREET
    BLUE HILL, ME 04614
  • EASTERN MAINE MEDICAL CENTER - (Acute Care)
    489 STATE ST, PO BOX 404
    BANGOR, ME 04401
  • PENOBSCOT VALLEY HOSPITAL - (Critical Access)
    7 TRANSALPINE ROAD, PO BOX 368
    LINCOLN, ME 04457
  • 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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