BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY NPI 1821493974

NPI Information

NPI: 1821493974
Provider Name: BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY

Other Name: MSU CMDS CLINIC

Classification: Pediatrics - 2080P0207X
Entity Type: Organization

Specialization: Pediatric Hematology-Oncology

Address:
1200 E MICHIGAN AVE
STE 145
LANSING, MI
ZIP 48912
Phone: (517) 364-5440
Get Directions

BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY is a pediatric hematology-oncology pediatrics in Lansing, MI. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY NPI is 1821493974. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Msu Cmds Clinic.

The provider's business location address is:

1200 E MICHIGAN AVE
STE 145
LANSING, MI
ZIP 48912-800
Phone: (517) 364-5440
Fax: (517) 364-5409

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

The enumeration date for this NPI number is 10/31/2014 and was last updated on 12/13/2019.

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
1	207K00000X	Allergy & Immunology		4301035591	MICHIGAN	No
2	207RH0003X	Internal Medicine	Hematology & Oncology	4301021298	MICHIGAN	No
3	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	4301045225	MICHIGAN	Yes
4	2080P0214X	Pediatrics	Pediatric Pulmonology	4301035591	MICHIGAN	No

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: 11/14/2023

NPI Synchronization or Removal

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