Provider Demographics
NPI:1124115365
Name:REGENTS OF THE UNIVERSITY OF MICHIGAN MWORKS
Entity type:Organization
Organization Name:REGENTS OF THE UNIVERSITY OF MICHIGAN MWORKS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR BUSINESS & BILLING OPS
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHIPPERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-975-3020
Mailing Address - Street 1:2850 S INDUSTRIAL HWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-6796
Mailing Address - Country:US
Mailing Address - Phone:734-975-3020
Mailing Address - Fax:734-975-3013
Practice Address - Street 1:1500 E MEDICAL CENTER DR
Practice Address - Street 2:MED INN BLDG/C380
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5000
Practice Address - Country:US
Practice Address - Phone:734-763-6972
Practice Address - Fax:734-998-6562
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGENTS OF THE UM HOSPITAL AND HEALTH CARE CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-09
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty