Individual provider · Type 1 NPI

David Michael Wisdom, PA-C

Physician Assistant · Edmonds, WA

NPI number 1396227583 Active

Practice location

21601 76th Ave W
Edmonds, WA 98026-7507

Call (425) 640-4000 Map

Mailing address

1713 Overbrook Ln
Raymore, MO 64083-8172

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA61471148 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1396227583

David Michael Wisdom, PA-C's National Provider Identifier is 1396227583, issued on Sep 4, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Edmonds, WA. The record was last updated on Oct 17, 2025.