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Organization

MICHIGAN STATE UNIVERSITY

Active
Other names
MSU HealthTeam
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA ZALDOKAS (MANAGER CREDENTIALING/ENROLLMENT)
(517) 355-3503
Entity
Organization

Contact information

Practice address
4660 S HAGADORN RD, SUITE 420, EAST LANSING, MI 48823-5376
(517) 884-6100
(517) 884-6233
Mailing address
4660 S HAGADORN RD, SUITE 420, EAST LANSING, MI 48823-5376
(517) 884-6100
(517) 884-6233

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/09/2009
Last updated
11/09/2009
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