Organization
LONGEVITY WELLNESS GROUP, PLLC
Active
Organization
LONGEVITY WELLNESS GROUP, PLLC
Active
Other names
Revive Longevity
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON HANA DO (OWNER)
(248) 228-4598
Entity
Organization
Contact information
Practice address
7479 MIDDLEBELT RD STE 3, WEST BLOOMFIELD, MI 48322-4175
(248) 387-9414
Mailing address
7479 MIDDLEBELT RD STE 3, WEST BLOOMFIELD, MI 48322-4175
(248) 387-9414
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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