Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Tree Wholistic Health

Organization Interventional Pain Medicine Physician · NPI 1922467596

Pine Tree Wholistic Health is an Interventional Pain Medicine Physician in Bangor, Maine. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

336 Mount Hope Ave Ste 11
Bangor, ME 04401-4236
Phone: (207) 942-2800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1922467596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Vanidestine — President · (207) 942-2800
NPI enumeratedFebruary 11, 2016
Last updated in NPPESFebruary 11, 2016
Mailing address336 Mount Hope Ave, Suite 11, Bangor, ME 04401-4236