Sandra Wiederhold, MD - Pediatrics in Portage, MI

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

Map and Direction




Physician's Profile

Full NameSandra Wiederhold
GenderFemale
SpecialityPediatrics
Location670 Mall Dr, Portage, Michigan
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1275643223NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 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 AddressPractice 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

Reviews and Comments


Pediatrics Doctors in Portage, MI

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Practice Location: 2680 W Centre Ave, Portage, MI 49024
Phone: 269-324-2400    Fax: 269-324-0450

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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