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DEVANESE WILSON
NPI 1477136539
Prosthetic/Orthotic Supplier in Detroit, MI

Active since May 05, 2021
18921 SUSSEX ST, DETROIT, MI 48235(313) 264-4197 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Devanese Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVANESE WILSON (NPI 1477136539) is an individual prosthetic/orthotic supplier provider in Detroit, Michigan and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1477136539
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameDEVANESE WILSON
Location Address18921 SUSSEX STDetroit, MI 48235-2841
Mailing Address28475 Greenfield Rd Ste 113Southfield, MI 48076-3034
Phone(313) 264-4197
Sole ProprietorYes
Enumeration DateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1477136539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.
18921 SUSSEX ST, Detroit, MI 48235
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devanese Wilson's NPI number?

The NPI number for Devanese Wilson is 1477136539. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Devanese Wilson located?

Devanese Wilson practices at 18921 Sussex St, Detroit, MI 48235. The listed phone number is (313) 264-4197.

What is Devanese Wilson's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Devanese Wilson was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.