Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Wilson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912368937

Michael Wilson is a Pain Management in Detroit, Michigan. Qualified in 2016, 10 years ago. Practices with Southern Nevada Pain Center (Kim) PC, a 4-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
10
Licensed in
NV
In the registry since
2016
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6071 W Outer Dr
Detroit, MI 48235-2624
Phone: (313) 966-1941
Fax: (313) 966-4204
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence DO2874 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912368937
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2016
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southern Nevada Pain Center (Kim) Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Detroit