Individual
DR. KIMBERLYDAWN WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 FORD PL # 5B, DETROIT, MI 48202-3450
(313) 876-8417
(313) 876-9243
Mailing address
1 FORD PL # 5B, DETROIT, MI 48202-3450
(313) 876-8417
(313) 876-9243
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301048817
MI
2083P0901X
Public Health & General Preventive Medicine Physician
4301048817
MI
Other
Enumeration date
02/05/2009
Last updated
10/26/2018
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