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Organization

REGENTS OF THE UNIVERSITY OF MICHIGAN

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

Provider details

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

Contact information

Practice address
8001 CHALLIS RD, BRIGHTON, MI 48116-7446
(810) 227-9510
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MI
2086S0102X
Surgical Critical Care Physician
MI
2086S0120X
Pediatric Surgery Physician
Primary
MI

Other

Enumeration date
06/17/2011
Last updated
04/30/2021
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