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
7500 CHALLIS RD, BRIGHTON, MI 48116-9416
(810) 263-4000
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
207RI0008X
Hepatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100D711440
BCBS
MI
Enumeration date
07/07/2006
Last updated
04/30/2021
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