MI WELLNESS CLINIC PROFESSIONAL CORPORATION – NPI #1144110073
Orthopaedic Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

MI WELLNESS CLINIC PROFESSIONAL CORPORATION is an orthopaedic surgeon located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1144110073 to MI WELLNESS CLINIC PROFESSIONAL CORPORATION on July 03, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207XS0117X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MI WELLNESS CLINIC PROFESSIONAL CORPORATION below.

NPI Profile for
MI WELLNESS CLINIC PROFESSIONAL CORPORATION

NPI Number
1144110073
Enumeration Date

(about a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MI WELLNESS CLINIC PROFESSIONAL CORPORATION
Primary location
27207 LAHSER RD STE 225
SOUTHFIELD, MI 48034-2168
Phone: (212) 813-3632 Fax:
Mailing address
51 E 25TH ST FL 6
NEW YORK, NY 10010-8207
Phone: (212) 813-3632 Fax: (212) 696-0162
Organization Subpart
No
Authorized Official
PAUL MARIE BRISSON
OWNER
Phone: (646) 380-7184
Updated
Certification Date
Jul 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XS0117X
- Orthopaedic Surgery / Orthopaedic Surgery of the Spine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.