Organization
PROVIDENCE PARK ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GABRIEL SALAMA (PRESIDENT)
(313) 916-8234
Entity
Organization
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-4100
Mailing address
19855 OUTER DR STE L4E, DEARBORN, MI 48124-2027
(313) 541-6420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
02/03/2026
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