| Michigan State University | |
|
1600 W Grand River Ave Ste 2 Okemos MI 48864-2394 | |
| (517) 349-6560 | |
| (517) 348-5796 |
| Full Name | Michigan State University |
|---|---|
| Speciality | Pediatrics |
| Location | 1600 W Grand River Ave, Okemos, Michigan |
| Authorized Official Name and Position | Relanda Price (LEAD ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 5178842976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan State University 804 Service Rd Ste A109b East Lansing MI 48824-7015 Ph: (517) 349-6560 | Michigan State University 1600 W Grand River Ave Ste 2 Okemos MI 48864-2394 Ph: (517) 349-6560 |
| NPI Number | 1326121179 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326121179 | NPI | - | NPPES |
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