Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN-PEDIATRIC SURGERY OFFSITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A SPAHLINGER MD (EXEC MEDICAL DIRECTOR FACULTY GRP)
(734) 936-3568
Entity
Organization
Contact information
Practice address
4642 GENESYS PARKWAY, GRAND BLAC, MI 48439-8067
(810) 606-5830
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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