DARYL WISDOM MD PLLC NPI 1316086887

NPI Information

  • NPI: 1316086887
  • Provider Name: DARYL WISDOM MD PLLC
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Organization
  • Doing Business As: WISDOM WELLNESS CENTER
  • Address: 10015 CASCADE RD SE
    LOWELL, MI
    ZIP 49331
  • Phone: (616) 868-7551

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NPI Details

DARYL WISDOM MD PLLC is a public health and general preventive medicine preventive medicine in Lowell, MI. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. DARYL WISDOM MD PLLC NPI is 1316086887. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wisdom Wellness Center.

The provider's business location address is:

10015 CASCADE RD SE
LOWELL, MI
ZIP 49331-529
Phone: (616) 868-7551
Fax: (616) 868-7321

The provider's authorized official is Daryl Wisdom .
The authorized official title is Owner and has the following contact phone number (616) 868-7551.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0901XPreventive MedicinePublic Health & General Preventive Medicine4301048819MICHIGANYes

What is NPI?

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This page was last updated on: 11/21/2025

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