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.

See every abbreviation used in this directory →

Practice location Address checks out

17330 Northland Park Ct Ste 201
Southfield, MI 48075-4318 Not confirmed with CMS for 17 years — call before visiting
Phone: (248) 809-2853
Show map & directions

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

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