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

Sandra Wiederhold, MD

Individual provider Pediatrics Physician · NPI 1275643223

Sandra Wiederhold, MD is a Pediatrics Physician in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

670 Mall Dr
Portage, MI 49024-2878
Phone: (269) 327-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301050967 (MI)

Record details

NPI number1275643223
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESOctober 9, 2018
Mailing address1000 Oakland Dr, Kalamazoo, MI 49008-1282

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