MICHIGAN STATE UNIVERSITY NPI 1699725895

NPI Information

  • NPI: 1699725895
  • Provider Name: MICHIGAN STATE UNIVERSITY
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 4660 S HAGADORN RD STE 600
    EAST LANSING, MI
    ZIP 48823
  • Phone: (517) 267-2460

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NPI Details

MICHIGAN STATE UNIVERSITY is a surgery in East Lansing, MI. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MICHIGAN STATE UNIVERSITY NPI is 1699725895. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4660 S HAGADORN RD STE 600
EAST LANSING, MI
ZIP 48823-383
Phone: (517) 267-2460
Fax: (517) 884-8602

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

The enumeration date for this NPI number is 5/11/2006 and was last updated on 10/18/2019.

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
1207RI0200XInternal MedicineInfectious DiseaseNo
2207V00000XObstetrics & GynecologyNo
3207VE0102XObstetrics & GynecologyReproductive EndocrinologyNo
4207Y00000XOtolaryngology4301097695MICHIGANNo
52086S0102XSurgerySurgical Critical CareNo
62086S0127XSurgeryTrauma SurgeryNo
72086X0206XSurgerySurgical Oncology4301077538MICHIGANNo
8207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
9207RH0003XInternal MedicineHematology & OncologyNo
10208600000XSurgeryYes

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: 11/21/2025

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