Healthcare Provider Details

I. General information

NPI: 1063332351
Provider Name (Legal Business Name): MICHIGAN DIGESTIVE CENTER PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38245 MOUND RD BLDG E
STERLING HEIGHTS MI
48310-3420
US

IV. Provider business mailing address

38245 MOUND RD BLDG E
STERLING HEIGHTS MI
48310-3420
US

V. Phone/Fax

Practice location:
  • Phone: 586-275-2686
  • Fax: 586-275-2693
Mailing address:
  • Phone: 586-275-2686
  • Fax: 586-275-2693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: WAEL DAHHAN
Title or Position: OWNER
Credential: MD
Phone: 586-275-2686