Organization
MICHIGAN STATE UNIVERSITY
Active
Organization
MICHIGAN STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L ROMIG (PROVIDER ENROLLMENT)
(517) 884-2976
Entity
Organization
Contact information
Practice address
909 FEE RD, ROOM B119, EAST LANSING, MI 48824-6410
(517) 353-3070
(517) 432-3603
Mailing address
804 SERVICE RD, ROOM A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-1167
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
05/17/2006
Last updated
09/16/2016
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