Michigan State University

NPI #1861443269 in East Lansing, Michigan

Provider Information

NPI Number
1861443269
Entity Type
Organization
Organization Name
Michigan State University
Primary Specialty
Family Medicine
Enumeration Date
May 12, 2006
Last Updated
Feb 13, 2018

Practice Location

Address
804 SERVICE RD # A225
ZIP Code
48824-7015
Phone
(517) 353-4941

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine - Geriatric MedicineGeriatric Medicine
Internal Medicine
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease
Internal Medicine - Infectious DiseaseInfectious Disease
Psychiatry & Neurology - PsychiatryPsychiatry
Nurse Practitioner - PediatricsPediatrics
Family Medicine

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