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
1000 WALL STREET, ANN ARBOR, MI 48105-0714
(734) 763-1415
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
—
—
207WX0109X
Neuro-ophthalmology Physician
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
207WX0120X
Cornea and External Diseases Specialist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180H113180
BCBS
MI
01
—
180H160980
BCBS
MI
Enumeration date
07/08/2006
Last updated
04/30/2021
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