Individual
PIP HIDESTRAND
Active
Individual
PIP HIDESTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD20555
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164698569
—
WI
Enumeration date
05/06/2008
Last updated
04/03/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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