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MICHIGAN STATE UNIVERSITY NPI 1760561658


NPI Information

NPI: 1760561658
Provider Name: MICHIGAN STATE UNIVERSITY

Other Name: OSTEOPATHIC MANIPULATIVE MEDICINE CLINIC

Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
804 SERVICE RD
STE A233
EAST LANSING, MI
ZIP 48824
Phone: (517) 432-6144
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MICHIGAN STATE UNIVERSITY is a neuromusculoskeletal medicine omm in East Lansing, MI. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. MICHIGAN STATE UNIVERSITY NPI is 1760561658. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Osteopathic Manipulative Medicine Clinic.

The provider's business location address is:

804 SERVICE RD
STE A233
EAST LANSING, MI
ZIP 48824-015
Phone: (517) 432-6144
Fax: (517) 432-6150

The provider's authorized official is Karen L. Romig .
The authorized official title is Provider Enrollment and has the following contact phone number (517) 884-2976.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 6/6/2016.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineNo
2204D00000XNeuromusculoskeletal Medicine & OMMYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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