# MIDWEST MULTISPECIALTY INSTITUTE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720643893
- **Authorized official:** DR. JEAN R PIERRE-PAUL SR. MD (C.E.O)
- **Authorized official phone:** (586) 382-9655

## Contact information

- **Practice address:** 31700 VAN DYKE AVE, WARREN, MI 48093-7949
- **Practice address phone:** (586) 333-5365
- **Mailing address:** 31700 VAN DYKE AVE, WARREN, MI 48093-7949
- **Mailing address phone:** (586) 333-5365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2019
- **Last updated:** 01/31/2020