Healthcare Provider Details

I. General information

NPI: 1396661443
Provider Name (Legal Business Name): DONALD SADIK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4227 ANGELINE DR
STERLING HEIGHTS MI
48310-5004
US

IV. Provider business mailing address

4227 ANGELINE DR
STERLING HEIGHTS MI
48310-5004
US

V. Phone/Fax

Practice location:
  • Phone: 586-668-4759
  • Fax:
Mailing address:
  • Phone: 586-668-4759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberS320149468507
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: