Individual provider · Type 1 NPI
Jeffrey Edward Wiederhold, DC
Chiropractor · Portage, MI
NPI number
1386876944
Active
Practice location
7117 S Westnedge Ave, Suite #3
Portage, MI 49002-4201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2301009586 (MI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1386876944
Jeffrey Edward Wiederhold, DC's National Provider Identifier is 1386876944, issued on Aug 17, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portage, MI. The record was last updated on Jul 1, 2010.