NPI 1922467596

Pine Tree Wholistic Health

Organisation Interventional Pain Medicine Physician Bangor, ME

Practice location

Address: 336 Mount Hope Ave Suite 11, Bangor, ME 04401-4236
Phone: (207) 942-2800

Authorised official

Name: Thomas J Vanidestine
Title: President
Phone: (207) 942-2800

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Maine →

Registry record

NPI: 1922467596
Entity type: Organization
NPI issued: 11 Feb 2016
Record last updated: 11 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.