Organization · NPI-2

Msu Health Care INC

Pediatrics · Okemos, MI

NPI number1003441171
StatusActive
Last updated in NPPESJan 23, 2023

Details

NPI
1003441171
Entity type
Organization (NPI-2)
Legal business name
Msu Health Care INC
Organization subpart
No
Enumeration date
Mar 9, 2020
Certification date
Jan 23, 2023
Last updated
Jan 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes
2080P0208X Pediatrics, Pediatric Infectious Diseases––
204D00000X Neuromusculoskeletal Medicine & OMM––
207Q00000X Family Medicine––
207SG0201X Medical Genetics, Clinical Genetics (M.D.)––
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery––
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine––
208800000X Urology––
2088P0231X Urology, Pediatric Urology––
103T00000X Psychologist––

Practice location

1600 W Grand River Ave Ste 2
Okemos, MI 48864-2394

Phone 517-349-5796 · Fax 517-349-5796

Mailing address

804 Service Rd Ste A109b
East Lansing, MI 48824-7015

Other practice locations

7335 Westshire Dr Ste 102
Lansing, MI 48917-9703

Phone 517-622-1012 · Fax 517-622-1033

13750 S Sedona Pkwy Ste 2
Lansing, MI 48906-8101

Phone 517-669-9758 · Fax 517-679-8232

Authorized official

Relanda Price
Lead Enrollment Coordinator
5178842976

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