Organization · Type 2 NPI

Regents of the University of Michigan Pediatric Surgery Offsite

Pediatric Surgery Physician · Ann Arbor, MI

NPI number 1811922263 Active

Practice location

5301E Huron River Dr
Ann Arbor, MI 48109

Mailing address

3621 S State St, 700 Kms Place
Ann Arbor, MI 48108

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.

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About NPI 1811922263

Regents of the University of Michigan Pediatric Surgery Offsite's National Provider Identifier is 1811922263, issued on Jul 12, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Ann Arbor, MI. The record was last updated on Sep 11, 2025.