DEVANESE WILSON NPI 1477136539

NPI Information

Devanese Wilson is a prosthetic orthotic supplier in Detroit, MI. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Devanese Wilson NPI is 1477136539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18921 SUSSEX ST
DETROIT, MI
ZIP 48235-841
Phone: (313) 264-4197

The enumeration date for this NPI number is 5/5/2021 and was last updated on 5/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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