Joshua David Piche, MD
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About
Dr. Piche is a board-certified spine surgeon and treats patients at the Ann Arbor, Brighton and Northville centers. He grew up in Novi, Michigan, completed undergraduate training at the University of Michigan and earn his medical degree at The University of Chicago Pritzker School of Medicine. Following medical school, Dr. Piche completed his orthopaedic surgical residency at the University of Michigan, where he developed a passion for spine surgery. He continued his education and completed a combined orthopaedic-neurosurgery spine fellowship at The University of Southern California, where he was trained in all aspects of adult spine surgery, including the newest minimally invasive techniques. Afterwards, the Society for Minimally Invasive Spine Surgery (SMISS) selected Dr. Piche for a traveling fellowship where he furthered his education and skill set in minimally invasive spine techniques.
Dr. Piche specializes in all aspects of adult spine care including trauma and degenerative conditions. He believes in treating patients conservatively when possible and only utilizing surgical options when absolutely needed. When patients do require surgery, he believes in minimally invasive options whenever possible to improve patient outcomes and experiences. His training allows him to perform all aspects of minimally invasive surgery including tubular and endoscopic surgery, and he incorporates new technology such as navigated and robotic tools to give patients the best possible outcomes.
Dr. Piche enjoys serving patients in the region he grew up in, and when he is not at the hospital, he enjoys spending time with his family, dog, and being on the lake.
Areas of Practice
Adult spine surgery. Minimally invasive spine surgery. Endoscopic and robotic spine surgery
Expertise
Locations
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Orthopaedic Surgery Clinic | Northville Health Center 39901 Traditions Dr
Floor 1
Northville, MI 48168-9493Get Directions -
Orthopaedic Surgery Clinic | Brighton Center for Specialty Care 7500 Challis Rd
Entrance 1, Level 1
Brighton, MI 48116-9416Get Directions
Insurance Accepted
University of Michigan Health participates with most health insurance plans.
Education & Training
Medical School or Training
Residency
Fellowships
Professional Organizations
Research Overview
Dr. Piche has a strong interest in research and has published a significant number of papers and book chapters in the field of spine surgery. His research interests focus on minimally invasive spine surgery techniques, advancing new technologies in spine surgery, and improving patient outcomes.
Links
Patient Ratings & Comments
Visit our Physician Ratings & Comments page to learn more about how patient ratings are collected, calculated, and updated to help you make an informed decision when choosing the right physician for your care.
Patient Ratings
259 Patient Ratings
Patient Comments
June 23, 2026 - "Dr. Piche is very professional and cares deeply for his patients. He is always available when I have questions or concerns."
May 16, 2026 - "Dr. Piche explained a complex spine issue in understandable terms. He is friendly and put me at ease. Excellent doctor."
April 30, 2026 - "Dr Piche was extremely patient, as well as very clear in his explanation of pros and cons of my upcoming procedure. He listened attentively and facilitated future communication with him. [...]"
April 29, 2026 - "Dr. Piche was kind, patient, respectful, attentive, thorough, knowledgeable & provided excellent care."
April 15, 2026 - "Dr Piche is just outstanding"
March 19, 2026 - "I so appreciate how much Doctor Piche has helped me so far!!!"
March 19, 2026 - "Dr. Piche provided helpful insight regarding recent testing results. Answered my questions in a clear and complete manner. Offered a useful treatment plan to address current symptoms and additional resources to address further concerns should they arise. His input very much appreciated."
February 24, 2026 - "I can't say enough good things about Dr. Piche. Overall 11/10. Doesn't make me feel incompetent for not understanding all the medical jargon and walks me through things slowly in a language I can understand. Takes his time evaluating and it doesn't feel rushed."
February 14, 2026 - "Excellent physician with vast knowledge .He is respectful,kind, and caring. Explains and answers all questions. Dr. Piche fully addresses the patient issues. He has an excellent manner and never rushes through the appointment. He meets the patient where they are and strives to improve their health situation. Fine physician!"
February 10, 2026 - "One of the best. Dr. Piche is patient, knowledgeable and a very good listener. He asks poignantly questions about patient's health and concerns."
