MICHIGAN STATE UNIVERSITY NPI 1467535211

NPI Information

MICHIGAN STATE UNIVERSITY is a neonatal-perinatal medicine pediatrics in Lansing, MI. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. MICHIGAN STATE UNIVERSITY NPI is 1467535211. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1215 E MICHIGAN AVE
SPARROW HOSPITAL - NEONATOLOGY UNIT
LANSING, MI
ZIP 48912-811
Phone: (517) 364-2670
Fax: (517) 364-3994

The provider's authorized official is Lisa M Rucker .
The authorized official title is Provider Enrollment Manager and has the following contact phone number (517) 355-8462.

The CLIA number assigned to this NPI record is 23D2166342 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 2/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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