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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
1600 W GRAND RIVER AVE STE 2, OKEMOS, MI 48864-2394
(517) 349-5796
(517) 349-5796
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
207Q00000X
Family Medicine Physician
207SG0201X
Clinical Genetics (M.D.) Physician
207XP3100X
Pediatric Orthopaedic Surgery Physician
208000000X
Pediatrics Physician
Primary
2080P0208X
Pediatric Infectious Diseases Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208800000X
Urology Physician
2088P0231X
Pediatric Urology Physician

Other

Enumeration date
03/09/2020
Last updated
01/23/2023
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