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
8001 CHALLIS ROAD, BRIGHTON, MI 48116
(734) 936-5738
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN AROBR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020D711500
BCBS
MI
Enumeration date
07/12/2006
Last updated
04/30/2021
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