| NPI | 1629157979 |
|---|---|
| Doing Business As | MICHIGAN STATE UNIVERSITY |
| Entity Type | Organization |
| Authorized Contact | LISA M RUCKER Provider Enrollment Manager 517-355-8462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-04-11 |