Organization · Type 2 NPI

Regents of the University of Michigan

Pediatric Surgery Physician · Brighton, MI

NPI number 1013202035 Active

Practice location

8001 Challis Rd
Brighton, MI 48116-7446

Call (810) 227-9510 Map

Mailing address

3621 S State St, Provider Enrollment
Ann Arbor, MI 48108-1633

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XNone listed
Surgical Critical Care Physician 2086S0102XNone listed
Pediatric Surgery Physician Primary 2086S0120XNone listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

93 other providers at this address

About NPI 1013202035

Regents of the University of Michigan's National Provider Identifier is 1013202035, issued on Jun 17, 2011. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Brighton, MI. The record was last updated on Apr 30, 2021.