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Organization
MICHIGAN STATE UNIVERSITY
Active
Organization
MICHIGAN STATE UNIVERSITY
Active
Other names
Osteopathic Manipulative Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L. ROMIG (PROVIDER ENROLLMENT)
(517) 884-2976
Entity
Organization
Contact information
Practice address
804 SERVICE RD, STE A233, EAST LANSING, MI 48824-7015
(517) 432-6144
(517) 432-6150
Mailing address
D128 WEST FEE HALL, EAST LANSING, MI 48824-1315
(517) 355-3503
(517) 432-1167
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
NULL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
06/06/2016
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