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REGENTS OF THE UNIVERSITY OF MICHIGAN NPI 1053343004


NPI Information

NPI: 1053343004
Provider Name: REGENTS OF THE UNIVERSITY OF MICHIGAN
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
Phone: (734) 936-4000
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REGENTS OF THE UNIVERSITY OF MICHIGAN is a neurology psychiatry neurology in Ann Arbor, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. REGENTS OF THE UNIVERSITY OF MICHIGAN NPI is 1053343004. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109-000
Phone: (734) 936-4000

The provider's authorized official is David Christopher Miller .
The authorized official title is President and has the following contact phone number (734) 936-3568.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 5/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistNo
22084A0401XPsychiatry & NeurologyAddiction MedicineNo
32084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryNo
42084F0202XPsychiatry & NeurologyForensic PsychiatryNo
52084N0400XPsychiatry & NeurologyNeurologyYes
62084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
72084N0600XPsychiatry & NeurologyClinical NeurophysiologyMICHIGANNo
82084P0005XPsychiatry & NeurologyNeurodevelopmental DisabilitiesNo
92084P2900XPsychiatry & NeurologyPain MedicineNo
102084S0010XPsychiatry & NeurologySports MedicineNo
112084V0102XPsychiatry & NeurologyVascular NeurologyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1130H176260OTHERMICHIGANBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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