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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
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MI
207RH0003X
Hematology & Oncology Physician
207RX0202X
Medical Oncology Physician
Primary
MI
207VX0201X
Gynecologic Oncology Physician
2080P0207X
Pediatric Hematology & Oncology Physician
2086X0206X
Surgical Oncology Physician

Other

Enumeration date
04/09/2010
Last updated
04/05/2021
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