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
1	2086S0102X	Surgical Critical Care Physician
2	2086S0120X	Pediatric Surgery Physician
3	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1386679405
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	:	700 KMS PLACE
City	:	ANN ARBOR
State	:	MI
Zip	:	48108
Country	:	US
Telephone Number	:	734-936-2047
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 CHERRY ST
Second Line	:	SUITE 1800
City	:	TOLEDO
State	:	OH
Zip	:	43608
Country	:	US
Telephone Number	:	419-251-4300
Fax Number	:

Authorized Official
Title or Position	:	EXEC MEDICAL DIRECTOR FACULTY GRP
Name	:	DAVID A SPAHLINGER
Credential	:	MD
Telephone Number	:	734-936-3568

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	01/23/2008

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

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