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
8001 CHALLIS ROAD, BRIGHTON, MI 48116-7446
(810) 227-9510
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
MI
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
MI
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
MI
Other
Enumeration date
07/31/2012
Last updated
05/03/2021
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