DAVID MICHAEL WISDOM

MORENO VALLEY, CA
NPI1396227583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA61471148)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2018-09-04
Last Update Date2023-10-12
Business Address
DAVID MICHAEL WISDOM PA-C
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 816-868-5374
Mailing Address
DAVID MICHAEL WISDOM PA-C
1713 OVERBROOK LN
RAYMORE, MO 64083-8172
Phone number: 816-868-5374