Organization

Michigan Institute Of Performance And Health

Multi-Specialty Clinic/Center in Bloomfield Hills, MI(View on Map)

Legal Business Name

Michigan Institute Of Performance And Health

NPI Number

1174041321

NPI Type

Organization

Enumeration Date

09/07/2017

Contact
Information

Purpose

Mailing
Location

Address

43902 WOODWARD AVE STE 230
43902 WOODWARD AVE STE 230

City

Bloomfield Hills
Bloomfield Hills

State

MI
MI

Postal Code

48302-5022
48302-5022

Country

US
US

Telephone Number

(248) 481-8428
(248) 481-8428

Authorized Official

Name

Mr. Mark Wells

Title or Position

OWNER/CLINIC DIRECTOR

Telephone Number

(248) 404-7151

Identifiers

Identifier

VC0005376

Identifier State

MI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/01/2024

Provider Address

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