Organization · Type 2 NPI

Michigan State University

Surgery Physician · East Lansing, MI

NPI number 1699725895 Active

Practice location

4660 S Hagadorn Rd Ste 600
East Lansing, MI 48823-5383

Call (517) 267-2460 Map

Fax (517) 884-8602

Mailing address

804 Service Rd Ste A109B
East Lansing, MI 48824-7015

Specialties and licenses

Taxonomy	Code	License
Endocrinology, Diabetes & Metabolism Physician	207RE0101X	None listed
Hematology & Oncology Physician	207RH0003X	None listed
Infectious Disease Physician	207RI0200X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Reproductive Endocrinology Physician	207VE0102X	None listed
Otolaryngology Physician	207Y00000X	4301097695 (MI)
Surgery Physician Primary	208600000X	None listed
Surgical Critical Care Physician	2086S0102X	None listed
Trauma Surgery Physician	2086S0127X	None listed
Surgical Oncology Physician	2086X0206X	4301077538 (MI)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1699725895

Michigan State University's National Provider Identifier is 1699725895, issued on May 11, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in East Lansing, MI. The record was last updated on Oct 18, 2019.