Organization · Type 2 NPI
Michigan State University
Diagnostic Radiology Physician · East Lansing, MI
NPI number
1891747614
Active
Practice location
804 Service Rd # D100
East Lansing, MI 48824-7015
Fax (517) 432-4394
Mailing address
804 Service Rd Rm A109F
East Lansing, MI 48824-7015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician | 2085B0100X | None listed |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 4301023246 (MI) |
| Neuroradiology Physician | 2085N0700X | None listed |
| Nuclear Radiology Physician | 2085N0904X | None listed |
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
| Vascular & Interventional Radiology Physician | 2085R0204X | None listed |
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301040697 (MI) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
Other diagnostic radiology physician providers in East Lansing
About NPI 1891747614
Michigan State University's National Provider Identifier is 1891747614, issued on May 17, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in East Lansing, MI. The record was last updated on Apr 5, 2018.