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Sandra Wiederhold, MD
NPI 1275643223 · on the registry since 2006
Practice
- Address
- 670 Mall Dr
Portage, MI 49024 - Phone
- (269) 327-1900
- Organisation at this address
- Pediatrics Pc
Paragon Health PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan