Organization
MSU HEALTH CARE INC.
Active
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 420, EAST LANSING, MI 48823-5353
(517) 884-6100
(517) 884-6233
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 884-6100
(517) 884-6233
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/10/2020
Last updated
10/14/2022
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