Healthcare Provider Details

I. General information

NPI: 1073240842
Provider Name (Legal Business Name): GLOBALMED PHYSICIANS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2022
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 MEADOW RIDGE DR
HOLLAND MI
49424-6491
US

IV. Provider business mailing address

960 MEADOW RIDGE DR
HOLLAND MI
49424-6491
US

V. Phone/Fax

Practice location:
  • Phone: 313-641-0676
  • Fax:
Mailing address:
  • Phone: 313-641-0676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DUANE FRANK WISK
Title or Position: MANAGING MEMBER
Credential: DO
Phone: 313-641-0676