# REGENTS OF THE UNIVERSITY OF MICHIGAN

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

## Provider details

- **NPI number:** 1326307489
- **Authorized official:** DAVID CHRISTOPHER MILLER (PRESIDENT)
- **Authorized official phone:** (734) 936-3568

## Contact information

- **Practice address:** 1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
- **Practice address phone:** (734) 936-4000
- **Mailing address:** 3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
- **Mailing address phone:** (734) 647-5299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | — | MI | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | MI | Yes |
| 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