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Sandra Wiederhold, MD
NPI 1275643223 · Pediatrics Physician · Portage, MI
Sandra Wiederhold, MD is a Pediatrics Physician provider in Portage, MI (NPI 1275643223).
Provider details
- NPI number
- 1275643223
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301050967 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
670 Mall Dr
Portage, MI 49024-2878
Phone: (269) 327-1900
Street-level locationGet directions
Mailing address
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2018-10-09
Frequently asked questions
- What is Sandra Wiederhold's NPI number?
- Sandra Wiederhold's National Provider Identifier (NPI) is 1275643223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sandra Wiederhold's specialty?
- Sandra Wiederhold is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Sandra Wiederhold located?
- Sandra Wiederhold's practice location on file with NPPES is 670 Mall Dr, Portage, MI 49024-2878.
- What is Sandra Wiederhold's phone number?
- The practice phone number listed in the NPPES registry for Sandra Wiederhold is (269) 327-1900.
- Is Sandra Wiederhold's NPI active?
- Yes — Sandra Wiederhold's NPI (1275643223) is active in the NPPES registry as of the last update on 2018-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.