MICHIGAN STATE UNIVERSITY NPI 1568545218

NPI Information

MICHIGAN STATE UNIVERSITY is a neonatal-perinatal medicine pediatrics in East 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 1568545218. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Family Practice Clinic.

The provider's business location address is:

804 SERVICE RD # A201
EAST LANSING, MI
ZIP 48824-015
Phone: (517) 884-2976
Fax: (517) 432-3928

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 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:

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