| NPI | 1821493974 |
|---|---|
| Other Name | MSU CMDS CLINIC |
| Entity Type | Organization |
| Authorized Contact | LISA M RUCKER Enrollment & Patient Accts Super 517-355-8462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301045225) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 4301035591) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301021298) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301035591) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2019-12-13 |