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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 (PRESIDENT)
(734) 936-3568
Entity
Organization
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
MI
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
MI
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
MI
2080S0012X
Pediatric Sleep Medicine Physician
—
MI
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
MI
2084N0400X
Neurology Physician
—
MI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
MI
2084P0005X
Neurodevelopmental Disabilities Physician
—
MI
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
MI
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
—
MI
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
MI
2084V0102X
Vascular Neurology Physician
—
MI
Other
Enumeration date
05/10/2012
Last updated
04/30/2021
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