# MICHIGAN STATE UNIVERSITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Osteopathic Manipulative Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760561658
- **Authorized official:** KAREN L. ROMIG (PROVIDER ENROLLMENT)
- **Authorized official phone:** (517) 884-2976

## Contact information

- **Practice address:** 804 SERVICE RD, STE A233, EAST LANSING, MI 48824-7015
- **Practice address phone:** (517) 432-6144
- **Practice address fax:** (517) 432-6150
- **Mailing address:** D128 WEST FEE HALL, EAST LANSING, MI 48824-1315
- **Mailing address phone:** (517) 355-3503
- **Mailing address fax:** (517) 432-1167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 06/06/2016