Organization
MICHIGAN STATE UNIVERSITY
Active
Other names
Osteopathic Manipulative Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L. ROMIG (PROVIDER ENROLLMENT)
(517) 884-2976
Entity
Organization
Contact information
Practice address
804 SERVICE RD, STE A233, EAST LANSING, MI 48824-7015
(517) 432-6144
(517) 432-6150
Mailing address
D128 WEST FEE HALL, EAST LANSING, MI 48824-1315
(517) 355-3503
(517) 432-1167
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
06/06/2016
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