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 1861443269

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
7

Practice location Address checks out

804 Service Rd # A225
East Lansing, MI 48824-7015
Phone: (517) 353-4941
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Infectious Disease Physician Taxonomy 207RI0200X
Psychiatry Physician Taxonomy 2084P0800X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1861443269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rucker — Manager Enrollment & Patient Accts · (517) 355-8462
NPI enumeratedMay 12, 2006
Last updated in NPPESFebruary 13, 2018
Mailing address804 Service Rd # A109f, East Lansing, MI 48824-7015

Other providers in East Lansing