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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
1207K00000XAllergy & Immunology Physician
2207KA0200XAllergy Physician
3207KI0005XClinical & Laboratory Immunology (Allergy & Immunology) Physician
4207RI0001XClinical & Laboratory Immunology (Internal Medicine) Physician
5207YX0602XOtolaryngic Allergy Physician
62080P0201XPediatric Allergy/Immunology Physician
7207R00000XInternal Medicine Physician
8207RA0201XAllergy & Immunology (Internal Medicine) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1030H111130OTHERMIBCBS

General Provider Information

NPI Number : 1700816881
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 : 48108-1633
Country : US
Telephone Number : 734-647-5299
Fax Number :
Provider Business Practice Location Address
First Line : 380 PARKLAND PLZ
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-6201
Country : US
Telephone Number : 734-647-5940
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DAVID CHRISTOPHER MILLER
Credential :
Telephone Number : 734-936-3568
Provider Enumeration Date : 07/04/2006
Last Update Date : 05/03/2021

Similar Medicare Providers

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1568435980 — WILLIAM ROBERT LYNCH MD
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1215983168 — ADAM BARNETT STEIN MD
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1649219734 — NJIRA LUCIA LUGOGO M.D.
Practice Location Address:
380 PARKLAND PLZ
ANN ARBOR, MI
48103-6201
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Practice Fax:
1255446258 — AARTI RAHEJA MD
Practice Location Address:
380 PARKLAND PLZ
ANN ARBOR, MI
48103-6201
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Practice Fax:
1881782308 — MELISSA ANN PYNNONEN MD
Practice Location Address:
380 PARKLAND PLAZA , 2ND FLOOR SUITE 210
ANN ARBOR, MI
48103-6201
Practice Phone: 734-998-7380
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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