Wiederhold, Sandra

Wiederhold, Sandra is an individual health care provider with primary practice located at 670 Mall Dr , Portage MI 49024-2878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wiederhold, Sandra can be contacted via phone (269) 327-1900.

Contact Information

Primary practice address
670 Mall Dr Portage MI 49024-2878
Phone: (269) 327-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301050967 Michigan

Profile Details

NPI number 1275643223
LBN Legal business name Wiederhold, Sandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 9th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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