Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regents of the University of Michigan

Organization Pediatrics Physician · NPI 1992081640

Regents of the University of Michigan is a Pediatrics Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1200 Sixth St Ste 100
Traverse City, MI 49684-2369
Phone: (231) 935-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rheumatology Physician (primary) Taxonomy 2080P0216X (MI)
Pediatrics Physician Taxonomy 208000000X (MI)

Record details

NPI number1992081640
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRegents of the University of Michigan
Authorized official David Miller — President · (734) 936-3568
NPI enumeratedOctober 26, 2011
Last updated in NPPESApril 30, 2021
Certification dateApril 13, 2021
Mailing address3621 S State St, Provider Enrollment, Ann Arbor, MI 48108-1633

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