Wiederkehr, Michael

Wiederkehr, Michael is an individual health care provider with primary practice located at 1 W Ridgewood Ave Suite 103, Paramus NJ 07652-2359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wiederkehr, Michael can be contacted via phone (201) 857-4200.

Contact Information

Primary practice address
1 W Ridgewood Ave Suite 103 Paramus NJ 07652-2359
Phone: (201) 857-4200
Fax: (201) 857-4199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MA069839 New Jersey

Profile Details

NPI number 1396759783
LBN Legal business name Wiederkehr, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396759783 NPPES
Other D081378 CDS

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