# REGENTS OF THE UNIVERSITY OF MICHIGAN PEDIATRIC SURGERY OFFSITE

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

## Provider details

- **NPI number:** 1811922263
- **Authorized official:** DAVID A SPAHLINGER MD (EXEC MEDICAL DIRECTOR FACULTY GRP)
- **Authorized official phone:** (734) 936-3568

## Contact information

- **Practice address:** 5301E HURON RIVER DR, ANN ARBOR, MI 48109
- **Practice address phone:** (734) 712-2441
- **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 |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | — |
| 2086S0102X | Surgical Critical Care Physician | — | — | — |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 09/11/2025
