| Michigan State University | |
|
804 Service Rd # A201 East Lansing MI 48824-7015 | |
| (517) 884-2976 | |
| (517) 432-3928 |
| Full Name | Michigan State University |
|---|---|
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 804 Service Rd # A201, East Lansing, Michigan |
| Authorized Official Name and Position | Lisa M Rucker (PROVIDER ENROLLMENT MANAGER) |
| Authorized Official Contact | 5173558462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan State University 804 Service Rd # A201a East Lansing MI 48824-7015 Ph: (517) 884-2976 | Michigan State University 804 Service Rd # A201 East Lansing MI 48824-7015 Ph: (517) 884-2976 |
| NPI Number | 1568545218 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 02/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568545218 | NPI | - | NPPES |
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