Organization
DARYL WISDOM MD PLLC
Active
Other names
Wisdom Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYL WISDOM MD (OWNER)
(616) 868-7551
Entity
Organization
Contact information
Practice address
10015 CASCADE RD SE, LOWELL, MI 49331-9529
(616) 868-7551
(616) 868-7321
Mailing address
10015 CASCADE RD SE, LOWELL, MI 49331-9529
(616) 868-7551
(616) 868-7321
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
4301048819
MI
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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