# REGENTS OF THE UNIVERSITY OF MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGENTS OF THE UNIVERSITY OF MICHIGAN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013202035
- **Legal business name:** REGENTS OF THE UNIVERSITY OF MICHIGAN
- **Authorized official:** DAVID CHRISTOPHER MILLER (PRESIDENT)
- **Authorized official phone:** (734) 936-3568

## Contact information

- **Practice address:** 8001 CHALLIS RD, BRIGHTON, MI 48116-7446
- **Practice address phone:** (810) 227-9510
- **Mailing address:** 3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
- **Mailing address phone:** (734) 647-5299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | MI | — |
| 2086S0102X | Surgical Critical Care Physician | — | MI | — |
| 2086S0120X | Pediatric Surgery Physician | — | MI | Yes |

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 04/30/2021