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NPI Code Detail

MEDICARE: NORTHLAND ANESTHESIA ASSOCIATES, PC

MEDICARE: NORTHLAND ANESTHESIA ASSOCIATES, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1528001880
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHLAND ANESTHESIA ASSOCIATES, PC
Provider Business Mailing Address
First Line : 255 W MICHIGAN AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-2218
Country : US
Telephone Number : 517-787-6440
Fax Number : 517-787-4146
Provider Business Practice Location Address
First Line : 16001 W 9 MILE RD
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48075-4818
Country : US
Telephone Number : 248-849-3000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DAVID GABRIEL SALAMA
Credential :
Telephone Number : 313-916-8234
Provider Enumeration Date : 06/14/2006
Last Update Date : 02/03/2026

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