Organization
MSU / SPARROW HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAS TAQATQA M.D. (PEDIATRIC RESIDENT)
(312) 476-0028
Entity
Organization
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
901 E MOUNT HOPE AVE STE 4, LANSING, MI 48910-3207
(517) 485-1153
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
125.054444
IL
282N00000X
General Acute Care Hospital
Primary
4301096500
MI
Other
Enumeration date
12/04/2008
Last updated
07/09/2010
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