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

Michigan State University

Organization Family Medicine Physician · NPI 1568545218

Michigan State University is a Family Medicine Physician in East Lansing, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

804 Service Rd # A201
East Lansing, MI 48824-7015
Phone: (517) 884-2976
Fax: (517) 432-3928
Show map & directions

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

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1568545218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rucker — Provider Enrollment Manager · (517) 355-8462
Other names Family Practice Clinic
NPI enumeratedOctober 23, 2006
Last updated in NPPESFebruary 8, 2018
Mailing address804 Service Rd # A201a, East Lansing, MI 48824-7015

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