Michigan State University
NPI #1639253784 in East Lansing, Michigan
Provider Information
- NPI Number
- 1639253784
- Entity Type
- Organization
- Organization Name
- Michigan State University
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Apr 5, 2018
Practice Location
- Address
- 804 SERVICE RD STE A142
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48824-7015
- Phone
- (517) 353-3050
Authorized Official
- Name
- LISA RUCKER
- Title
- ENROLLMENT & PATIENT ACCTS MANAGER
- Phone
- (517) 884-2976
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Internal Medicine - Rheumatology — Rheumatology |
| Physician Assistant |
| Nurse Practitioner - Gerontology — Gerontology |
| Nurse Practitioner - Pediatrics — Pediatrics |
| Nurse Practitioner - Women's Health — Women's Health |
| Nurse Practitioner - Family — Family |
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