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Organization

REGENTS OF THE UNIVERSITY OF MICHIGAN

Active
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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 LBBY A, 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
207X00000X
Orthopaedic Surgery Physician
Primary
207XP3100X
Pediatric Orthopaedic Surgery Physician
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
207XX0801X
Orthopaedic Trauma Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200H176120
BCBS
MI
Enumeration date
07/08/2006
Last updated
05/03/2021
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