Organization
MICHIGAN STATE UNIVERSITY
Active
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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