Organization
POLYCLINIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM BRUSSEAU (MGR)
(248) 663-9846
Entity
Organization
Contact information
Practice address
26400 W 12 MILE RD, STE 38, SOUTHFIELD, MI 48034-1700
(248) 663-9846
(248) 663-9854
Mailing address
26400 W 12 MILE RD, STE 38, SOUTHFIELD, MI 48034-1700
(248) 663-9846
(248) 663-9854
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
50011601
MI
Other
Enumeration date
02/12/2007
Last updated
09/11/2025
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