# REGENTS OF THE UNIV OF MICHIGAN HEART SURGERY PROGRAM CRITTETON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGENTS OF THE UNIV OF MICHIGAN HEART SURGERY PROGRAM CRITTETON
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346435161
- **Legal business name:** REGENTS OF THE UNIV OF MICHIGAN HEART SURGERY PROGRAM CRITTETON
- **Authorized official:** DAVID A SPAHLINGER MD (EXEC MEDICAL DIRECTOR FACULTY GRP P)
- **Authorized official phone:** (734) 936-3568

## Contact information

- **Practice address:** 1101 W UNIVERSITY DR, ROCHESTER, MI 48307
- **Practice address phone:** (248) 652-6927
- **Mailing address:** 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
- **Mailing address phone:** (734) 936-2047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 09/14/2007