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
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(734) 930-7400
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
—
MI
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
MI
2080S0010X
Pediatric Sports Medicine Physician
—
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
MI
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
MI
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
—
MI
Other
Enumeration date
06/25/2014
Last updated
04/30/2021
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