Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MILLER MD (PRESIDENT)
(734) 936-3568
Entity
Organization
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, 2ND FLOOR TAUBMAN CTR RECP B, ANN ARBOR, MI 48109-0348
(734) 936-5851
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060H111870
BCBS
MI
Enumeration date
07/12/2006
Last updated
11/12/2025
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