Search › Michigan › 1041C0700X
Shaneise Wilson
NPI 1568841336 · on the registry since 2015
Practice
- Address
- 35373 Forest St
Wayne, MI 48184 - Phone
- (734) 331-0058
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 171M00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan