DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL GRAVINA, P.A.

Active

MICHAEL GRAVINA, P.A. is a Physician Assistant healthcare provider located in SOUTHFIELD, Michigan. NPI 1649401522 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SOUTHFIELD, MI

Registration Details

NPI Number
1649401522
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2009 (17.041449362912 yrs)
Last Updated
Jul 27, 2009
License
5601005451 (MI)

Practice Information

Address
17330 NORTHLAND PARK CT
SUITE 201
SOUTHFIELD, MI, 480754318
Browse MI providers · Browse ZIP 48075
Phone
2488092853
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SOUTHFIELD, MI

Name Credential NPI
MICHELLE BAKER PA 1477557734
ROGER JONATHAN ONG PA 1992704167
KENNETH MARK WARDOWSKI PA 1831190305
AMY G. CONNOLLY PA-C 1033106331
MRS. KAREN JOY DANIEL PHYSICIAN ASSISTANT 1649242777
LAINE WOODARD PA-C 1962455055
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.