SANDRA WIEDERHOLD

PORTAGE, MI
NPI1275643223
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MI  4301050967)
Enumeration Date2006-08-30
Last Update Date2018-10-09
Business Address
SANDRA WIEDERHOLD MD
670 MALL DR
PORTAGE, MI 49024-2878
Phone number: 269-327-1900
Mailing Address
SANDRA WIEDERHOLD MD
1000 OAKLAND DR
KALAMAZOO, MI 49008-1282
Phone number: