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Organization
MSU HEALTH CARE INC
Active
Organization
MSU HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RELANDA PRICE (LEAD ENROLLMENT COORDINATOR)
(517) 884-2976
Entity
Organization
Contact information
Practice address
4660 S HAGADORN RD STE 210, EAST LANSING, MI 48823-5353
(517) 355-4205
(517) 355-4202
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 355-4205
(517) 355-4202
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
—
NULL
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
—
—
2088P0231X
Pediatric Urology Physician
—
NULL
2088P0231X
Pediatric Urology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
NULL
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
02/07/2020
Last updated
01/23/2023
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