Organization
MICHIGAN GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIE TAHA DO (OWNER)
(313) 644-0040
Entity
Organization
Contact information
Practice address
29000 LITTLE MACK AVE STE A, SAINT CLAIR SHORES, MI 48081-3018
(313) 644-0040
Mailing address
29000 LITTLE MACK AVE STE A, SAINT CLAIR SHORES, MI 48081-3018
(313) 644-0040
(313) 644-0041
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
11/12/2024
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