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Organization

BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY

Active
Other names
MSU Spine and Orthopedic Center
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 500, EAST LANSING, MI 48823-5353
(517) 884-4554
(517) 884-4556
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
213E00000X
Podiatrist
5901002366
MI
363A00000X
Physician Assistant
5601003216
MI

Other

Enumeration date
10/23/2006
Last updated
04/18/2023
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