Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wyatt Isaac Wiedenfeld, DPM

Individual provider Podiatrist · NPI 1912310152

Dr. Wyatt Isaac Wiedenfeld, DPM is a Podiatry in Oconto Falls, Wisconsin. Qualified in 2014, 12 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

853 S Main St
Oconto Falls, WI 54154-1203
Phone: (920) 496-4700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 37595 7 Mile Rd Ste 370, Livonia, MI 48152-1003 — (248) 258-0001
  • 26850 Providence Pkwy Ste 502, Novi, MI 48374-1267 — (248) 662-4350
  • 29829 Telegraph Rd Ste 202, Southfield, MI 48034-7656 — (248) 258-0001
  • 16001 W 9 Mile Rd, Southfield, MI 48075-4818 — (248) 849-3403

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 5901002524 (MI)

Record details

NPI number1912310152
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 5, 2014
Last updated in NPPESApril 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount