Michigan State University

NPI #1851470744 in East Lansing, Michigan

Provider Information

NPI Number
1851470744
Entity Type
Organization
Organization Name
Michigan State University
Primary Specialty
Family Medicine
Enumeration Date
Nov 3, 2006
Last Updated
Apr 5, 2018

Practice Location

Address
804 SERVICE RD
Address 2
STE A217
ZIP Code
48824-7015
Phone
(517) 353-8122

Authorized Official

Name
MRS. LISA M RUCKER
Title
ENROLLMENT & PATIENT ACCTS MANAGER
Phone
(517) 355-8462

Specialties & Taxonomy Codes

Specialty
Family Medicine - Geriatric MedicineGeriatric Medicine
Family Medicine - Sports MedicineSports Medicine
Internal Medicine
Internal Medicine - GastroenterologyGastroenterology
Internal Medicine - Infectious DiseaseInfectious Disease
Internal Medicine - Pulmonary DiseasePulmonary Disease
Preventive Medicine - Public Health & General Preventive MedicinePublic Health & General Preventive Medicine
Psychiatry & Neurology - NeurologyNeurology
Psychiatry & Neurology - Neurology with Special Qualifications in Child NeurologyNeurology with Special Qualifications in Child Neurology
General Practice
Family Medicine

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