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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
12084N0400XNeurology Physician
22084P2900XPain Medicine (Psychiatry & Neurology) Physician
32084S0010XSports Medicine (Psychiatry & Neurology) Physician
42084N0402XNeurology with Special Qualifications in Child Neurology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1350H111750OTHERMIBCBS

General Provider Information

NPI Number : 1255365862
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 : 734-936-5299
Provider Enumeration Date : 07/10/2006
Last Update Date : 05/03/2021

Similar Medicare Providers

1578001426 — JUSTIN PAUL CROWLEY PA-C
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-936-4000
Practice Fax:
1033056320 — HALEY NICOLE FITZGERALD MD
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-936-4000
Practice Fax:
1023955333 — DR. PARIYAMON THAPRAWAT MD, PHD
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-998-2020
Practice Fax:
1568309888 — DR. HANNAH MACKENZIE STARBUCK MD
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-998-2020
Practice Fax:
1174460414 — RACHEL EVE SCHWYHART MD
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-998-2020
Practice Fax:
1871957118 — THERESA ESTIPHAN MD
Practice Location Address:
1500 E MEDICAL CTR DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-936-5000
Practice Fax:
1093642811 — GUIDO CHIRIBOGA MD
Practice Location Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
48109-5000
Practice Phone: 734-998-2020
Practice Fax:

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

Language Start Address Practice Location
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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