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Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Active
Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHRISTOPHER MILLER MD (PRESIDENT)
(734) 936-3568
Entity
Organization
Contact information
Practice address
4260 PLYMOUTH ROAD, ANN ARBOR, MI 48109-2701
(734) 647-5650
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080I0007X
Pediatric Clinical & Laboratory Immunology Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
—
2080T0002X
Pediatric Medical Toxicology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H114300
BCBS
MI
Enumeration date
07/07/2006
Last updated
04/30/2021
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