Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Active
Parent organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MICHIGAN
Authorized official
DAVID CHRISTOPHER MILLER MD (PRESIDENT)
(734) 936-3568
Entity
Organization
Contact information
Practice address
1200 SIXTH ST, SUITE 100, TRAVERSE CITY, MI 49684-2369
(231) 935-5000
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
MI
2080P0216X
Pediatric Rheumatology Physician
Primary
—
MI
Other
Enumeration date
10/26/2011
Last updated
04/30/2021
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