NPI 1760561658
Michigan State University
Practice location
- Address
- 804 Service Rd STE A233, East Lansing, MI 48824-7015
- Phone
- (517) 432-6144
- Fax
- (517) 432-6150
- Mailing address
- D128 West Fee Hall, East Lansing, MI 48824-1315
Authorised official
- Name
- Karen L. Romig
- Title
- Provider Enrollment
- Phone
- (517) 884-2976
Registered specialties (2)
Neuromusculoskeletal Medicine & OMM Physician
Primary
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Registry record
- NPI
- 1760561658
- Entity type
- Organization
- NPI issued
- 3 Nov 2006
- Record last updated
- 6 Jun 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.