Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHRISTOPHER MILLER MD (PRESIDENT)
(734) 936-3568
Entity
Organization
Contact information
Practice address
1974 N HURON RIVER DR STE 100, YPSILANTI, MI 48197-1894
(734) 615-0788
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
05/03/2021
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