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

Michigan Endoscopy Center at Providence Park

Organization Ambulatory Surgical Clinic/Center · NPI 1306283957

Michigan Endoscopy Center at Providence Park is an Ambulatory Surgical Clinic/Center in Novi, Michigan. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

47601 Grand River Ave Ste D-110
Novi, MI 48374-1233
Phone: (248) 465-9220
Fax: (248) 347-1915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1306283957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cristin Trahey — Administrator · (248) 465-9220
NPI enumeratedMay 22, 2013
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address47601 Grand River Ave Ste D-110, Novi, MI 48374-1233

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