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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
8001 CHALLIS RD, BRIGHTON, MI 48116-7446
(810) 227-9510
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207LA0401X
Addiction Medicine (Anesthesiology) Physician
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
208VP0000X
Pain Medicine Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
05/29/2008
Last updated
04/30/2021
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