Organization
MICHIGAN STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RELANDA PRICE (OPERATIONS COORDINATOR)
(517) 884-2976
Entity
Organization
Contact information
Practice address
1600 W GRAND RIVER AVE, STE 2, OKEMOS, MI 48864-2394
(517) 349-6560
(517) 348-5796
Mailing address
463 E CIRCLE DR, EAST LANSING, MI 48824-7500
(517) 884-6546
(517) 432-9460
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
5101011076
MI
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
5101019945
MI
208000000X
Pediatrics Physician
Primary
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208800000X
Urology Physician
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Enumeration date
10/23/2006
Last updated
01/20/2026
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