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A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal-Perinatal Medicine |
2080N0001X | 37 | Physician/Pediatric Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI # | 1568545218 |
| LBN Legal business name | MICHIGAN STATE UNIVERSITY |
| Authorized official | LISA RUCKER - (PROVIDER ENROLLMENT MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/23/2006 |
| Last updated | 02/08/2018 - About 8 years ago |
| Identifiers | n/a |
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MICHIGAN STATE UNIVERSITY
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MICHIGAN STATE UNIVERSITY