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

Michigan State University

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1699725895

Michigan State University is an Endocrinology, Diabetes & Metabolism 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
10

Practice location Address checks out

4660 S Hagadorn Rd Ste 600
East Lansing, MI 48823-5383
Phone: (517) 267-2460
Fax: (517) 884-8602
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Hematology & Oncology Physician Taxonomy 207RH0003X
Infectious Disease Physician Taxonomy 207RI0200X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Reproductive Endocrinology Physician Taxonomy 207VE0102X
Otolaryngology Physician Taxonomy 207Y00000X · Licence 4301097695 (MI)
Surgical Critical Care Physician Taxonomy 2086S0102X
Trauma Surgery Physician Taxonomy 2086S0127X
Surgical Oncology Physician Taxonomy 2086X0206X · Licence 4301077538 (MI)

Record details

NPI number1699725895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rucker — Enrollment & Patient Accts Manager · (517) 355-8462
NPI enumeratedMay 11, 2006
Last updated in NPPESOctober 18, 2019
Mailing address804 Service Rd Ste A109b, East Lansing, MI 48824-7015

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