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

Providence Park Anesthesia Associates, PC

Organization Anesthesiology Physician · NPI 1942459672

Providence Park Anesthesia Associates, PC is an Anesthesiology Physician in Novi, Michigan. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

47601 Grand River Ave
Novi, MI 48374-1233
Phone: (248) 465-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1942459672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Salama — President · (313) 916-8234
NPI enumeratedSeptember 18, 2008
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address19855 Outer Dr Ste L4e, Dearborn, MI 48124-2027

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