Organization
MI WELLNESS CLINIC PROFESSIONAL CORPORATION
Active
Other names
MI Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MARIE BRISSON MD (OWNER)
(646) 380-7184
Entity
Organization
Contact information
Practice address
27207 LAHSER RD STE 225, SOUTHFIELD, MI 48034-2168
(212) 813-3632
Mailing address
51 E 25TH ST FL 6, NEW YORK, NY 10010-8207
(212) 813-3632
(212) 696-0162
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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