Michigan State University
Michigan State University is a Body Imaging 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
- 7
Practice location Address checks out
804 Service Rd # D100East Lansing, MI 48824-7015
Phone: (517) 353-5053
Fax: (517) 432-4394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|---|
| Body Imaging Physician | Taxonomy 2085B0100X |
| Diagnostic Neuroimaging (Radiology) Physician | Taxonomy 2085D0003X · Licence 4301023246 (MI) |
| Neuroradiology Physician | Taxonomy 2085N0700X |
| Nuclear Radiology Physician | Taxonomy 2085N0904X |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence 4301040697 (MI) |
Record details
| NPI number | 1891747614 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Rucker — Enrollment & Patient Accts Manager · (517) 884-2976 |
| NPI enumerated | May 17, 2006 |
| Last updated in NPPES | April 5, 2018 |
| Mailing address | 804 Service Rd Rm A109f, East Lansing, MI 48824-7015 |
Other providers in East Lansing
-
Msu Health Care Inc
804 Service Rd Ste D100, East Lansing, MI 48824-7015 · (517) 353-5053