Organization Name: | MICHIGAN STATE UNIVERSITY |
NPI Number: | 1891747614 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN L ROMIG (MANAGER PROVIDER ENROLLMENT) |
Mailing Address: | 804 Service Rd Room D100 East Lansing |
State: | MI US |
Postal Code: | 488247015 |
Phone Number: | 5173535053 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 05/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |