Michigan · Moderate

Do You Need a Medical Director for a Med Spa in Michigan?

Whether Michigan requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the Michigan picture.

By Evan at Inside MedSpa

Medical director requirement

Required for RN/LPN injectors; physician oversight mandatory

Corporate Practice of Medicine

Lenient; MSO/management structures permitted with physician oversight This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Who can supervise or delegate

NP/PA may inject under physician collaboration; independent practice not permitted for injections

How the exam ties in

Required; in-person or telehealth permitted with physician oversight

What to verify in Michigan

Document physician delegation agreements for all RN/NP/PA injectors and maintain clear medical director oversight.

Primary source: Michigan Medical Board; Michigan Board of Nursing

General business information for Michigan medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Michigan board (and your own counsel) before you act.

See the full Michigan regulation profile →

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