Daryl Wisdom MD PLLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

4301048819 Issued in MI

Legal business name

DARYL WISDOM MD PLLC

Doing business as

Wisdom Wellness Center

Practice address

10015 Cascade Rd SE
Lowell, MI 49331-9529

Phone

(616) 868-7551

Fax

(616) 868-7321

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daryl Wisdom, MDNPI 1205849866

Title

Owner

Phone

(616) 868-7551

Specialties & licenses 1

Addresses

Other names 1

• Wisdom Wellness Center Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daryl D Wisdom, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Lowell, MI
  • NPI 1205849866
  Authorized official Same address or phone
• Cheryl Wisdom Murphy, MS RN

  • Ambulatory Women's Health Care Registered Nurse
  • Lowell, MI
  • NPI 1144084484
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316086887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 CASCADE RD SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319529",
            "telephone_number": "616-868-7551",
            "fax_number": "616-868-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 CASCADE RD SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319529",
            "telephone_number": "616-868-7551",
            "fax_number": "616-868-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARYL WISDOM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISDOM",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-868-7551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "4301048819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisdom Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Fausch Cullum, MA, MT-BC
• Douglas Wood Cushman, L. M. S. W.
• Joshua Cutshall, DPT
• Daily Life Skills Independence Hub LLC
• Daniel & Max, LLC
• Christopher James Davis, D.O.
• McKenna Davis
• William Kendall Dawdy
• Kristen Deboer
• Cassandra Kay Debruyn, LLPC

• Public Health & General Preventive Medicine Physician in Lowell, MI
• Providers in Lowell, MI by specialty
• Public Health & General Preventive Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.