| Doctor Name: | PIP HIDESTRAND |
| NPI Number: | 1164698569 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 53716 |
| Business Practice Address: | 43 Whiting Hill Rd Brewer, ME - 044121005 |
| Business Phone Number: | 2079735000 |
| Business Fax Number: | 2079735042 |
| Mailing Address: | 417 State St, Webber East Suite 200 BANGOR |
| State: | ME |
| Postal Code: | 044016630 |
| Phone Number: | 2079738885 |
| Fax Number: | 2079738817 |
| NPI Enumeration Date: | 05/06/2008 |
| NPI Last Update Date: | 05/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PP0204X |
| License Number: | 53716 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Pediatric Emergency Medicine |
| Taxonomy Definition: | Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |