Organization · Type 2 NPI

Board of Trustees of Michigan State University

Pediatric Hematology & Oncology Physician · Lansing, MI

NPI number 1821493974 Active

Practice location

1200 E Michigan Ave, Ste 145
Lansing, MI 48912-1800

Call (517) 364-5440 Map

Fax (517) 364-5409

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician 207K00000X4301035591 (MI)
Hematology & Oncology Physician 207RH0003X4301021298 (MI)
Pediatric Hematology & Oncology Physician Primary 2080P0207X4301045225 (MI)
Pediatric Pulmonology Physician 2080P0214X4301035591 (MI)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1821493974

Board of Trustees of Michigan State University's National Provider Identifier is 1821493974, issued on Oct 31, 2014. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Lansing, MI. The record was last updated on Dec 13, 2019.