Individual
MICHAEL WIEDERKEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 W RIDGEWOOD AVE, SUITE 103, PARAMUS, NJ 07652-2359
(201) 857-4200
(201) 857-4199
Mailing address
1 W RIDGEWOOD AVE STE 103, PARAMUS, NJ 07652-2361
(201) 857-4200
(201) 857-4199
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA069839
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D081378
CDS
—
Enumeration date
07/28/2006
Last updated
04/16/2026
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