# REGENTS OF THE UNIVERSITY OF MICHIGAN

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

## Provider details

- **NPI number:** 1942556634
- **Authorized official:** DAVID CHRISTOPHER MILLER (PRESIDENT)
- **Authorized official phone:** (734) 936-3568

## Contact information

- **Practice address:** 8001 CHALLIS ROAD, BRIGHTON, MI 48116-7446
- **Practice address phone:** (810) 227-9510
- **Mailing address:** 3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
- **Mailing address phone:** (734) 936-2047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | MI | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | MI | Yes |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | MI | — |

## Other

- **Enumeration date:** 07/31/2012
- **Last updated:** 05/03/2021