Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Polyclinic Associates PC

Organization Specialist · NPI 1174665988

Polyclinic Associates PC is a Specialist in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

26400 W 12 Mile Rd Ste 38
Southfield, MI 48034-1700
Phone: (248) 663-9846
Fax: (248) 663-9854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 50011601 (MI)

Record details

NPI number1174665988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Brusseau — Mgr · (248) 663-9846
NPI enumeratedFebruary 12, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address26400 W 12 Mile Rd, Ste 38, Southfield, MI 48034-1700

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