Regents Of The University Of Michigan
Eyewear Supplier (Equipment, not the service) in Ypsilanti, MI. Organization (NPI-2).
NPI number1619474491
StatusActive
Last updated in NPPESMay 3, 2021
Details
- NPI
- 1619474491
- Entity type
- Organization (NPI-2)
- Legal business name
- Regents Of The University Of Michigan
- Organization subpart
- No
- Enumeration date
- Apr 9, 2018
- Certification date
- Apr 9, 2021
- Last updated
- May 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
1974 N Huron River Dr Ste 100Ypsilanti, MI 48197-1894
Phone 734-615-0788
Mailing address
3621 S State StProvider Enrollment
Ann Arbor, MI 48108-1633
Phone 734-647-5299
Authorized official
David Christopher Miller
President
7349363568
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