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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396759783 | NPPES |
Other | D081378 | CDS |
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