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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
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
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
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
2084N0400X
Neurology Physician
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2084N0600X
Clinical Neurophysiology Physician
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
2084P0800X
Psychiatry Physician
Primary
2084P0802X
Addiction Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician

Other

Enumeration date
07/11/2006
Last updated
04/06/2021
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