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Devanese Wilson
Prosthetic/Orthotic Supplier in Detroit, Michigan
NPI 1477136539

Devanese Wilson is a Prosthetic/Orthotic Supplier based in Southfield, MI. Devanese Wilson practices in Detroit, MI. The NPI Number for Devanese Wilson is 1477136539 and holds a License No. (Michigan).

The current practice location address for Devanese Wilson is 18921 Sussex St, Detroit, MI and can be reached out via phone at 313-264-4197. You can also correspond with Devanese Wilson through the mailing address at 28475 GREENFIELD RD STE 113, SOUTHFIELD, MI - 48076-3034 (mailing address contact number: ).

Location: 18921 Sussex St, Detroit, MI, 48076-3034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477136539
Provider Name
Devanese Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
18921 Sussex St, Detroit, MI, 48076-3034
Phone Number
313-264-4197
Fax Number
Provider Enumeration Date
05/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18921 Sussex St
City
Detroit
State
Michigan
Zip
48235-2841
Phone Number
313-264-4197
Fax Number
person
Provider Business Mailing Address Details
Address
28475 Greenfield Rd Ste 113
City
Southfield
State
Michigan
Zip
48076-3034
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
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.
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