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Organization

REGENTS OF THE UNIVERSITY OF MICHIGAN

Active
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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
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2701
(734) 647-5715
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
MI
2084N0600X
Clinical Neurophysiology Physician
MI
2084P0800X
Psychiatry Physician
MI
2084P0802X
Addiction Psychiatry Physician
MI
2084P0805X
Geriatric Psychiatry Physician
Primary
MI
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
MI
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
MI

Other

Enumeration date
03/30/2010
Last updated
05/03/2021
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