Provider Demographics
NPI:1952548240
Name:UNIVERSITY OF MICHIGAN
Entity Type:Organization
Organization Name:UNIVERSITY OF MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL-VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-615-1717
Mailing Address - Street 1:1500 E. MEDICAL CENTER DR.
Mailing Address - Street 2:5303 CC/SPC 5941
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109
Mailing Address - Country:US
Mailing Address - Phone:734-615-9888
Mailing Address - Fax:734-647-9271
Practice Address - Street 1:1500 E MEDICAL CENTER DR
Practice Address - Street 2:5303 CC/SPC 5941
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5000
Practice Address - Country:US
Practice Address - Phone:734-615-9888
Practice Address - Fax:734-647-9271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital