Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Michael Wisdom, PA-C

Individual provider Physician Assistant · NPI 1396227583

David Michael Wisdom, PA-C is a Physician Assistant in Edmonds, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

21601 76th Ave W
Edmonds, WA 98026-7507
Phone: (425) 640-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61471148 (WA)

Record details

NPI number1396227583
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 4, 2018
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address1713 Overbrook Ln, Raymore, MO 64083-8172

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