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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
8001 CHALLIS ROAD, BRIGHTON, MI 48116-7446
(810) 227-9510
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
MI
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
MI
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
MI
Other
Enumeration date
07/31/2012
Last updated
05/03/2021
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