Individual
MRS. MELANIE JENNIFER WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12693 TAKOMA DR, STERLING HTS, MI 48313-3370
(586) 405-5886
Mailing address
12693 TAKOMA DR, STERLING HTS, MI 48313-3370
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704237562
MI
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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