Individual
ANISHA A WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20720 PLYMOUTH RD, DETROIT, MI 48228-1275
(313) 493-4330
Mailing address
20720 PLYMOUTH RD, DETROIT, MI 48228-1275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1275007544
MI
363LF0000X
Family Nurse Practitioner
Primary
4704267019
MI
363LF0000X
Family Nurse Practitioner
F01190098
MI
Other
Enumeration date
01/19/2019
Last updated
03/17/2026
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