Individual Healthcare Provider
Wyatt Isaac Wiedenfeld, DPM
Provider's NPPES record last updated: April 23, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1912310152
- Primary Specialty
- Podiatrist
- Practice Location
- Oconto Falls, Wisconsin
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 12:23 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Podiatrist
Podiatric Medicine & Surgery Service Providers
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Taxonomy code 213E00000X
Provider-Reported License Information
- Podiatrist (Michigan)
- 5901002524
Practice Locations
Practice Location
853 S Main St
Oconto Falls, Wisconsin 54154-1203
Phone: (920) 496-4700
Additional Practice Location
29829 Telegraph Rd Ste 202
Southfield, Michigan 48034-7656
Phone: (248) 258-0001
Additional Practice Location
16001 W 9 Mile Rd
Southfield, Michigan 48075-4818
Phone: (248) 849-3403
Additional Practice Location
26850 Providence Pkwy Ste 502
Novi, Michigan 48374-1267
Phone: (248) 662-4350
Additional Practice Location
37595 7 Mile Rd Ste 370
Livonia, Michigan 48152-1003
Phone: (248) 258-0001
Record Information
- Enumeration Date
- June 5, 2014
- Provider's NPPES Record Last Updated
- April 23, 2019
- NPISignal NPPES Dataset
- August 2026
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