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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 MD (PRESIDENT)
(734) 936-3568
Entity
Organization

Contact information

Practice address
1200 E MICHIGAN AVE, SUITE 725, LANSING, MI 48912
(517) 364-5599
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MI
2080P0202X
Pediatric Cardiology Physician
Primary
MI
2080P0203X
Pediatric Critical Care Medicine Physician
MI

Other

Enumeration date
10/26/2011
Last updated
04/30/2021
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