MEDICARE: FUSION WELLNESS PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	202D00000X	Integrative Medicine Physician
3	175F00000X	Naturopath
4	204D00000X	Neuromusculoskeletal Medicine & OMM Physician

General Provider Information

NPI Number	:	1508688391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUSION WELLNESS PLC

Provider Business Mailing Address
First Line	:	6405 TELEGRAPH RD STE G1
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-1775
Country	:	US
Telephone Number	:	248-952-9997
Fax Number	:

Provider Business Practice Location Address
First Line	:	6405 TELEGRAPH RD STE G1
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-1775
Country	:	US
Telephone Number	:	248-952-9997
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	MAX FEINSTEIN
Credential	:	DO
Telephone Number	:	248-952-9997

Provider Enumeration Date	:	10/31/2024
Last Update Date	:	06/17/2026

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