MICHIGAN STATE UNIVERSITY NPI 1861443269

NPI Information

  • NPI: 1861443269
  • Provider Name: MICHIGAN STATE UNIVERSITY
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 804 SERVICE RD # A225
    EAST LANSING, MI
    ZIP 48824
  • Phone: (517) 353-4941

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NPI Details

MICHIGAN STATE UNIVERSITY is a family medicine in East Lansing, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MICHIGAN STATE UNIVERSITY NPI is 1861443269. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

804 SERVICE RD # A225
EAST LANSING, MI
ZIP 48824-015
Phone: (517) 353-4941

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

The enumeration date for this NPI number is 5/12/2006 and was last updated on 2/13/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2207QG0300XFamily MedicineGeriatric MedicineNo
3207R00000XInternal MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RI0200XInternal MedicineInfectious DiseaseNo
62084P0800XPsychiatry & NeurologyPsychiatryNo
7363LP0200XNurse PractitionerPediatricsNo

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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