Sandra Wiederhold, MD in Portage, MI - Pediatrics

Sandra Wiederhold, MD is a Pediatrics physician based in Portage, Michigan. Sandra Wiederhold is licensed to practice in Michigan (license number 4301050967) and her current practice location is 670 Mall Dr, Portage, Michigan. She can be reached at her office (for appointments etc.) via phone at (269) 327-1900.

NPI number for Sandra Wiederhold is 1275643223 and her current mailing address is 1000 Oakland Dr, Kalamazoo, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275643223.

Contact Information

	Sandra Wiederhold, MD
	670 Mall Dr, Portage, MI 49024-2878
	(269) 327-1900
	Not Available

Physician's Profile

Full Name	Sandra Wiederhold
Gender	Female
Speciality	Pediatrics
Location	670 Mall Dr, Portage, Michigan
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1275643223
Provider Enumeration Date: 08/30/2006
Last Update Date: 10/09/2018

Medical Identifiers

Medical identifiers for Sandra Wiederhold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275643223	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301050967 (Michigan)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Wiederhold is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sandra Wiederhold, MD 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: () -	Sandra Wiederhold, MD 670 Mall Dr, Portage, MI 49024-2878 Ph: (269) 327-1900

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Pediatrics Doctors in Portage, MI

Sara Ehlke-bejcek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2680 W Centre Ave, Portage, MI 49024 Phone: 269-324-2400 Fax: 269-324-0450
Linda Garrison, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8001 Angling Rd, Portage, MI 49024 Phone: 269-329-0944
Dr. Anthony J Van Es, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5082 Lovers Ln, Portage, MI 49002 Phone: 269-381-0118 Fax: 269-381-4610
Dr. Elena Jean Lewis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1324 W Milham Ave, Suite 1, Portage, MI 49024 Phone: 269-342-0196 Fax: 269-342-0532
Thomas R Akland, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8001 Angling Rd, Portage, MI 49024 Phone: 269-329-0944
Julie Elias, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2680 W Centre Ave, Portage, MI 49024 Phone: 269-324-2400 Fax: 269-324-0450

Sandra Wiederhold, MD - Pediatrics in Portage, MI