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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEVANESE WILSON

Active Sole Proprietor

DEVANESE WILSON is a Prosthetic/Orthotic Supplier healthcare provider located in DETROIT, Michigan. NPI 1477136539 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · DETROIT, MI

Registration Details

NPI Number
1477136539
Provider Type
Individual
Gender
Female
NPI Issued
May 5, 2021 (5.2994098386701 yrs)
Last Updated
May 5, 2021
Sole Proprietor
Yes

Practice Information

Address
18921 SUSSEX ST
DETROIT, MI, 482352841
Browse MI providers · Browse ZIP 48235
Phone
3132644197
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X

Other Prosthetic/Orthotic Supplier Providers in DETROIT, MI

Name Credential NPI
VICTORIA PATTERSON 1740791193
SATRINA GIBSON 1972290567
KEJUANNA THOMAS 1891474094
THERESA WITHERS PROSTHETICS 1386412641
ASIA THOMAS 1528808276
TAMARA WATTS 1710831367
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.