# REGENTS OF THE UNIVERSITY OF MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University of Michigan Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255728606
- **Authorized official:** DAVID CHRISTOPHER MILLER (PRESIDENT)
- **Authorized official phone:** (734) 936-3568

## Contact information

- **Practice address:** 4201 CAMPUS RIDGE DR STE 3400, MIDLAND, MI 48640-6132
- **Practice address phone:** (989) 839-1386
- **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 |
| --- | --- | --- | --- | --- |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 2088F0040X | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | — | NULL | — |
| 2088F0040X | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | — | — | — |

## Other

- **Enumeration date:** 04/23/2015
- **Last updated:** 04/30/2021
