# DARYL WISDOM MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wisdom Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316086887
- **Authorized official:** DR. DARYL WISDOM MD (OWNER)
- **Authorized official phone:** (616) 868-7551

## Contact information

- **Practice address:** 10015 CASCADE RD SE, LOWELL, MI 49331-9529
- **Practice address phone:** (616) 868-7551
- **Practice address fax:** (616) 868-7321
- **Mailing address:** 10015 CASCADE RD SE, LOWELL, MI 49331-9529
- **Mailing address phone:** (616) 868-7551
- **Mailing address fax:** (616) 868-7321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 4301048819 | MI | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020