Michigan State University
Pediatric Neonatal-Perinatal Medicine
Michigan State University is a East Lansing, Michigan based Pediatric center with medical specialization in
Pediatric Neonatal-Perinatal Medicine. Michigan State University is also known as
Family Practice Clinic.
It is located at
804 Service Rd # A201, East Lansing, Michigan - 48824-7015. They can be contacted on phone at
517-884-2976 and fax number 517-432-3928.
NPI number (Unique professional ID) for Michigan State University is
1568545218 which was assigned by NPPES on 23 Oct, 2006 and it was last updated on 08 Feb, 2018.
Michigan State University 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.
Complete Profile:
Michigan State University basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Michigan State University |
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| Other Name : | Family Practice Clinic |
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Business Address:
Michigan State University address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 804 Service Rd # A201
East Lansing, MI, 48824-7015
United States |
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| Phone Number : | 517-884-2976 |
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| Fax Number : | 517-432-3928 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568545218 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 23 Oct, 2006 |
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| Last Updated On : | 08 Feb, 2018 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lisam Rucker |
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| Official Title or Position : | PROVIDER ENROLLMENT MANAGER |
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| Phone Number : | 517-355-8462 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michigan State University are as mentioned. Primary taxonomy code for Michigan State University is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207Q00000X | Family Medicine | No | | |
| 207QG0300X | Family Medicine Geriatric Medicine | No | | |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | | |
| 2084P0800X | Psychiatry & Neurology Psychiatry | No | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 804 Service Rd # A201a
East Lansing, MI, 48824-7015
United States |
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| Phone Number : | 517-884-2976 |
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| Fax Number : | 517-432-3928 |
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Business Location:
Patients can refer following map for directions to
Michigan State University practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.