person
Roberta Wilson
Prosthetics Case Management in Detroit, Michigan
NPI 1992341846

Roberta Wilson is a Prosthetics Case Management based in Van Buren Twp, MI and is specialized in Prosthetics Case Management. Roberta Wilson practices in Detroit, MI. The NPI Number for Roberta Wilson is 1992341846 and holds a License No. (Michigan).

The current practice location address for Roberta Wilson is 1121 E Mcnichols Rd, Detroit, MI and can be reached out via phone at 313-365-3100.

Location: 1121 E Mcnichols Rd, Detroit, MI, 48111-1618
person
Provider Profile Details
NPI Number
1992341846
Provider Name
Roberta Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1121 E Mcnichols Rd, Detroit, MI, 48111-1618
Phone Number
313-365-3100
Fax Number
Provider Enumeration Date
11/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SA0823019 05 MI
institution
Provider Business Practice Location Address Details
Address
1121 E Mcnichols Rd
City
State
Zip
48203-2857
Phone Number
313-365-3100
Fax Number
person
Provider Business Mailing Address Details
Address
1121 E Mcnichols Rd
City
State
Zip
48203-2857
Phone Number
313-365-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
(Michigan)
Definition
Definition to come...
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