Healthcare Provider Details

I. General information

NPI: 1518918069
Provider Name (Legal Business Name): REGENTS OF THE UNIVERSITY OF MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 S INDUSTRIAL HWY SUITE 200
ANN ARBOR MI
48104-6796
US

IV. Provider business mailing address

PO BOX 223200
PITTSBURGH PA
15251-2200
US

V. Phone/Fax

Practice location:
  • Phone: 734-971-8286
  • Fax: 734-971-8922
Mailing address:
  • Phone: 734-971-8286
  • Fax: 734-971-8922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DAVID CHRISTOPHER MILLER
Title or Position: PE SPECIALIST
Credential: MD
Phone: 734-936-3568