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Organization

REGENTS OF THE UNIVERSITY OF MICHIGAN

Active
Parent organization
REGENTS OF THE UNIVERSITY OF MICHGIAN
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MICHGIAN
Authorized official
DAVID C MILLER MD (PRESIDENT)
(734) 936-3568
Entity
Organization

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RN0300X
Nephrology Physician
Primary
2080P0210X
Pediatric Nephrology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110H111840
BCBS
MI
Enumeration date
07/07/2006
Last updated
04/03/2021
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