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NPI Code Detail

MEDICARE: REGENTS OF THE UNIVERSITY OF MICHIGAN

MEDICARE: REGENTS OF THE UNIVERSITY OF MICHIGAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0600XClinical Neurophysiology Physician
22084F0202XForensic Psychiatry Physician
32084H0002XHospice and Palliative Medicine (Psychiatry & Neurology) Physician
42084N0400XNeurology Physician
52084P0301XBrain Injury Medicine (Psychiatry & Neurology) Physician
62084N0402XNeurology with Special Qualifications in Child Neurology Physician
72084P0802XAddiction Psychiatry Physician
82084P0804XChild & Adolescent Psychiatry Physician
92084P2900XPain Medicine (Psychiatry & Neurology) Physician
102084S0010XSports Medicine (Psychiatry & Neurology) Physician
112084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1770518839
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGENTS OF THE UNIVERSITY OF MICHIGAN
Provider Business Mailing Address
First Line : 3621 S STATE ST
Second Line : PROVIDER ENROLLMENT
City : ANN ARBOR
State : MI
Zip : 48108
Country : US
Telephone Number : 734-647-5299
Fax Number :
Provider Business Practice Location Address
First Line : 1500 E MEDICAL CENTER DR
Second Line :
City : ANN ARBOR
State : MI
Zip : 48109-5000
Country : US
Telephone Number : 734-936-4000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DAVID CHRISTOPHER MILLER
Credential :
Telephone Number : 734-936-3568
Provider Enumeration Date : 07/11/2006
Last Update Date : 04/06/2021

Similar Medicare Providers

1053343004 — REGENTS OF THE UNIVERSITY OF MICHIGAN
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-936-4000
Practice Fax:
1083633341 — SAYYED ABDOLVAHHAB SOHRAB MD
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-936-4000
Practice Fax:
1972684116 — JACK MORDECAI PARENT MD
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-936-4000
Practice Fax:
1831270966 — LINDA M SELWA MD
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-936-4000
Practice Fax:
1124173026 — SIMON MALCOLM GLYNN MD
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-936-4000
Practice Fax:
1285751305 — DR. NEERAJ KAPLISH M.B., B.S.
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-936-4000
Practice Fax:

Directions to “REGENTS OF THE UNIVERSITY OF MICHIGAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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