Mi Wellness Clinic Professional Corporation

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

MI WELLNESS CLINIC PROFESSIONAL CORPORATION

Doing business as

MI Wellness Clinic

Practice address

27207 Lahser Rd Ste 225
Southfield, MI 48034-2168

Phone

(212) 813-3632

NPI assigned

Jul 3, 2025

Last updated

Jul 3, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Marie Brisson, MDNPI 1164534202

Title

Owner

Phone

(646) 380-7184

Specialties & licenses 1

Addresses

Other names 1

• MI Wellness Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul-Marie Jerome Brisson, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • New York City, NY
  • NPI 1164534202
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1144110073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 25TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108207",
            "telephone_number": "212-813-3632",
            "fax_number": "212-696-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27207 LAHSER RD STE 225",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342168",
            "telephone_number": "212-813-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI WELLNESS CLINIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "BRISSON",
        "authorized_official_first_name": "PAUL MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-380-7184",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MI Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mi Genetic Sequencing Labs Inc
• Mi Healthcare Professionals PC (Millennium Urgent Care)
• Mi House Physician PC
• Mi Spinecare Professional Corporation (Mi Spinecare)
• Mi Sports Rehab P.C
• Raven Mial
• Michael J. Freedman, MD, P.C.
• Daniel Michael, MD
• Deborah A Michael, PA-C
• Destiny Michael

• Orthopaedic Surgery of the Spine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Orthopaedic Surgery of the Spine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.