Daryl D Wisdom, MD is a
Emergency Medicine - Emergency Medical Services physician based in Lowell, Michigan. Daryl D Wisdom is licensed to practice in Michigan (license number 4301048819) and his current practice location is 10015 Cascade Rd Se, Lowell, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 868-7551.
NPI number for Daryl D Wisdom is 1205849866 and his current mailing address is 10015 Cascade Rd Se, Lowell, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205849866.
Physician's Profile
Full Name | Daryl D Wisdom |
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Gender | Male |
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Speciality | Emergency Medicine - Emergency Medical Services |
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Location | 10015 Cascade Rd Se, Lowell, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205849866
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 10/28/2016
Medical Identifiers
Medical identifiers for Daryl D Wisdom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205849866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 4301048819 (Michigan) | Primary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 4301048819 (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daryl D Wisdom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Daryl D Wisdom, MD 10015 Cascade Rd Se, Lowell, MI 49331-9529 Ph: (616) 868-7551 | Daryl D Wisdom, MD 10015 Cascade Rd Se, Lowell, MI 49331-9529 Ph: (616) 868-7551 |
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