Individual
BRANDEI K WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9 HEALTHCARE DRIVE, SUITE 105, BIDDEFORD, ME 04005
(207) 282-3666
(207) 282-4281
Mailing address
ONE MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005
(207) 282-9080
(207) 282-4281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD19215
ME
207RC0000X
Cardiovascular Disease Physician
Primary
MD19215
ME
208M00000X
Hospitalist Physician
MD19215
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033318753
ANTHEM
ME
05
—
1033318753
—
ME
01
—
7840316
CIGNA
ME
01
—
9221840
AETNA
ME
01
—
AA316117
HARVARD PILGRIM
ME
Enumeration date
07/12/2007
Last updated
11/27/2013
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