Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DARYL D WISDOM, MD
Active Sole ProprietorDARYL D WISDOM, MD is a Emergency Medical Services healthcare provider located in LOWELL, Michigan. NPI 1205849866 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · LOWELL, MI
Registration Details
- NPI Number
- 1205849866
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2006 (20.046102650855 yrs)
- Last Updated
- Oct 28, 2016
- Licenses
-
4301048819 (MI)4301048819 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10015 CASCADE RD SELOWELL, MI, 493319529Browse MI providers · Browse ZIP 49331
- Phone
- 6168687551
- Fax
- 6168687321
- Primary Specialty
-
Emergency Medical Services
207PE0004X
- Additional Specialty
- Public Health & General Preventive Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.