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SANDRA WIEDERHOLD MD
NPI 1275643223
Pediatrics in Portage, MI

Active since August 30, 2006
670 MALL DR, PORTAGE, MI 49024(269) 327-1900 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Wiederhold Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA WIEDERHOLD MD (NPI 1275643223) is an individual pediatrics provider in Portage, Michigan, licensed in Michigan (4301050967) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1275643223
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSANDRA WIEDERHOLDCredential: MD
Location Address670 MALL DRPortage, MI 49024-2878
Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282
Phone(269) 327-1900
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 9, 2018
✔ NPI 1275643223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301050967
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
670 MALL DR, Portage, MI 49024
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDALL L DYK MD
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 491-3263
PEDIATRICS PC
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 327-1900
PARAGON HEALTH PC
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 491-3263
DAVID L OHMART M.D.
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 327-1900
NATALIE M BEHRLE MD
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 327-1900
ANN PATRICE SHEEHAN DNP, CPNP
Nurse Practitioner (Pediatrics)
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 327-1900
MARK A BLAZEK M.D.
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 327-1900
DR. JUSTINE ELIZABETH BUNKA
Pediatrics
670 MALL DR
PORTAGE, MI 49024
Kalamazoo County (269) 491-3263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Wiederhold's NPI number?

The NPI number for Sandra Wiederhold is 1275643223. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Sandra Wiederhold located?

Sandra Wiederhold practices at 670 Mall Dr, Portage, MI 49024. The listed phone number is (269) 327-1900.

What is Sandra Wiederhold's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Sandra Wiederhold was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.