| Regents Of The Unversity Of Michigan | |
|
8001 Challis Rd Brighton MI 48116-7446 | |
| (810) 227-9510 | |
| Not Available |
| Full Name | Regents Of The Unversity Of Michigan |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8001 Challis Rd, Brighton, Michigan |
| Authorized Official Name and Position | David Christopher Miller (PRESIDENT) |
| Authorized Official Contact | 7349363568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents Of The Unversity Of Michigan 3621 S State St Provider Enrollment Ann Arbor MI 48108-1633 Ph: (734) 647-5299 | Regents Of The Unversity Of Michigan 8001 Challis Rd Brighton MI 48116-7446 Ph: (810) 227-9510 |
| NPI Number | 1851713457 |
|---|---|
| Provider Enumeration Date | 01/16/2014 |
| Last Update Date | 05/03/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851713457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Michigan) | Primary |
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