# REGENTS OF THE UNIVERSITY OF MICHIGAN

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

## Provider details

- **NPI number:** 1679508873
- **Authorized official:** DAVID CHRISTOPHER MILLER MD (PRESIDENT)
- **Authorized official phone:** (734) 936-3568

## Contact information

- **Practice address:** 8001 CHALLIS RD, BRIGHTON, MI 48116
- **Practice address phone:** (810) 227-9510
- **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 |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 04/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 340D711410 | BCBS | MI |