Healthcare Provider Details

I. General information

NPI: 1861338055
Provider Name (Legal Business Name): MISK MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11800 E 12 MILE RD
WARREN MI
48093-3472
US

IV. Provider business mailing address

PO BOX 3272
SAGINAW MI
48605-3272
US

V. Phone/Fax

Practice location:
  • Phone: 872-985-1059
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: OMAR SAAED
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 872-985-1059