STACEY HENNER WALDEN DO

BLUE HILL MEMORIAL HOSPITAL

Dr STACEY HENNER WALDEN DO is a female medical professional, specializing in Family Medicine. She graduated in 2002 from University Of New England, College Of Osteo Medicine.

Contact

BLUE HILL MEMORIAL HOSPITAL

57 WATER ST
BLUE HILL
ME
046145231

Tel: 2073743473

STACEY HENNER WALDEN DO Information

Npi 1548204183
Pac Id 2264461508
Professional Enrollment Id I20050808000593
Last Name WALDEN
First Name STACEY
Middle Name HENNER
Suffix
Gender F
Credential DO
Medical School Name UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year 2002
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BLUE HILL MEMORIAL HOSPITAL
Group Practice Pac Id 7911991336
Number Of Group Practice Members 22
Line 1 Street Address 57 WATER ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BLUE HILL
State ME
Zip Code 046145231
Phone Number 2073743473
Hospital Affiliation Ccn 1 201300
Hospital Affiliation Lbn 1 BLUE HILL MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 200050
Hospital Affiliation Lbn 2 MAINE COAST MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3 200033
Hospital Affiliation Lbn 3 EASTERN MAINE MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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