MEDICARE: REGENTS OF THE UNIVERSITY OF MICHIGAN-UHS-UNIVERSITY HEALTH SER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207PS0010X	Sports Medicine (Emergency Medicine) Physician
2	133V00000X	Registered Dietitian
3	207KA0200X	Allergy Physician
4	363A00000X	Physician Assistant
5	207QA0505X	Adult Medicine Physician
6	207QS0010X	Sports Medicine (Family Medicine) Physician
7	207RS0010X	Sports Medicine (Internal Medicine) Physician
8	207T00000X	Neurological Surgery Physician
9	207VG0400X	Gynecology Physician
10	207X00000X	Orthopaedic Surgery Physician
11	207Y00000X	Otolaryngology Physician
12	2085B0100X	Body Imaging Physician
13	2085R0202X	Diagnostic Radiology Physician
14	2085U0001X	Diagnostic Ultrasound Physician
15	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	700H11075	OTHER	MI	BLUE CROSS BLUE SHIELD MI
2	0H10079	OTHER	MI	BLUE CROSS BLUE SHIELD OF MICHIGAN
3	0H10078	OTHER	MI	BLUE CROSS BLUE SHIELD OF MICHIGAN

General Provider Information

NPI Number	:	1265610570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGENTS OF THE UNIVERSITY OF MICHIGAN-UHS-UNIVERSITY HEALTH SER

Provider Business Mailing Address
First Line	:	207 FLETCHER, ROOM 0245G
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-1050
Country	:	US
Telephone Number	:	734-936-6390
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 FLETCHER, ROOM 0245G
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-1050
Country	:	US
Telephone Number	:	734-936-6390
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. CHRISTOPHER FRANK
Credential	:	MD
Telephone Number	:	734-764-7380

Provider Enumeration Date	:	02/08/2008
Last Update Date	:	12/08/2023

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