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Contact Information

PIP HIDESTRAND, MD
417 STATE ST STE 305
BANGOR, ME04401-6654
 Phone: 207-973-8585
 Fax: 207-973-8817
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PIP HIDESTRAND · (Female)

NPI # 1164698569
Status Active
Credentials MD
Entity Individual
Enumeration date 05/06/2008
Last updated 04/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD20555
  • WI Medicaid 1164698569
Hospital affiliation(s) Not Available
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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