# REGENTS OF THE UNIVERSITY OF MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225063613
- **Authorized official:** DAVID MILLER (PRESIDENT)
- **Authorized official phone:** (734) 936-3568

## Contact information

- **Practice address:** 1500 EAST MEDICAL CENTER DRIVE, 2ND FLOOR TAUBMAN CTR RECP B, ANN ARBOR, MI 48109-0348
- **Practice address phone:** (734) 936-5851
- **Mailing address:** 3621 S STATE ST, PROVIDER ENROLLMENT, ANN AROBR, MI 48108
- **Mailing address phone:** (734) 647-5299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | — |
| 2086S0102X | Surgical Critical Care Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 04/15/2021