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
7500 CHALLIS RD, BRIGHTON, MI 48116-9416
(810) 263-4000
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060D711510
BCBS
MI
Enumeration date
07/07/2006
Last updated
04/30/2021
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