Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Active
Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Active
Other names
UMHS Rachel Upjohn Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHRISTOPHER MILLER (PRESIDENT)
(734) 936-3568
Entity
Organization
Contact information
Practice address
4250 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(800) 525-5188
Mailing address
3621 S STATE ST - PROVIDER ENROLLMENT, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/25/2007
Last updated
05/03/2021
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