MICHIGAN STATE UNIVERSITY – Surgery Physician, NPI 1699725895

MICHIGAN STATE UNIVERSITY is a healthcare provider. based in East lansing, Michigan. specializing in Surgery Physician. The organization holds a License No. 4301097695 (MI). The NPI Number for MICHIGAN STATE UNIVERSITY is 1699725895

Main info

Organization
Name
MICHIGAN STATE UNIVERSITY
NPI
1699725895
Phone
(517) 267-2460
Address
804 SERVICE RD STE A109B
Authorized Official
LISA RUCKER ENROLLMENT & PATIENT ACCTS MANAGER
Enumeration Date
11 May 2006
Last Update Date
18 October 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MICHIGAN STATE UNIVERSITY

  • 804 SERVICE RD STE A109B

    EAST LANSING, MI 488247015

    Phone: (517) 267-2460

    Fax: (517) 884-8602

    Type: Mailing

  • South Hagadorn Road, East Lansing, Ingham County, Michigan, 48824, United States

    EAST LANSING, MI 488235383

    Phone: (517) 267-2460

    Fax: (517) 884-8602

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48824)

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Reviews

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Frequently asked questions

What is the registry number for MICHIGAN STATE UNIVERSITY?
The registry entry for MICHIGAN STATE UNIVERSITY shows NPI 1699725895.
Quick check: is MICHIGAN STATE UNIVERSITY active?
Public NPPES data shows MICHIGAN STATE UNIVERSITY with an active NPI status right now.
How should patients interpret MICHIGAN STATE UNIVERSITY's specialty?
The extract shows Surgery Physician for MICHIGAN STATE UNIVERSITY. Clinical services aligned with this taxonomy classification.
Is MICHIGAN STATE UNIVERSITY tied to East Lansing, Michigan?
If you are local to East Lansing, Michigan, MICHIGAN STATE UNIVERSITY may be relevant to your search.
Who maintains MICHIGAN STATE UNIVERSITY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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