Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Board of Trustees of Michigan State University

Organization Orthopaedic Surgery Physician · NPI 1184707937

Board of Trustees of Michigan State University is an Orthopaedic Surgery Physician in East Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
3

Practice location Address checks out

4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-5353
Phone: (517) 884-4554
Fax: (517) 884-4556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Podiatrist Taxonomy 213E00000X · Licence 5901002366 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601003216 (MI)

Record details

NPI number1184707937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Relanda Price — Lead Enrollment Coordinator · (517) 884-2976
Other names Msu Spine And Orthopedic Center; Msu Spine And Orthopedic Center
NPI enumeratedOctober 23, 2006
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing address804 Service Rd Ste A109b, East Lansing, MI 48824-7015

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