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

Michael Gravina, PA

Individual provider Physician Assistant · NPI 1649401522

Michael Gravina, PA is a Physician Assistant in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

17330 Northland Park Ct Ste 201
Southfield, MI 48075-4318
Phone: (248) 809-2853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005451 (MI)

Record details

NPI number1649401522
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 27, 2009
Last updated in NPPESJuly 27, 2009
Mailing address17330 Northland Park Ct, Suite 201, Southfield, MI 48075-4318

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