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

Michigan Gastroenterology PLLC

Organization Gastroenterology Physician · NPI 1730911694

Michigan Gastroenterology PLLC provides Gastroenterology Physician services in Saint Clair Shores, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29000 Little Mack Ave Ste A
Saint Clair Shores, MI 48081-3018
Phone: (313) 644-0040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1730911694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robbie Taha — Owner · (313) 644-0040
NPI enumeratedAugust 19, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address29000 Little Mack Ave Ste A, Saint Clair Shores, MI 48081-3018

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