Family Medicine
MICHIGAN STATE UNIVERSITY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1861443269 · enumerated 2006-05-12 · record updated 2018-02-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Ms. LISA RUCKER, Manager Enrollment & Patient Accts · (517) 355-8462
Addresses and phones
- Practice location 804 SERVICE RD # A225, EAST LANSING, MI, 48824-7015 (517) 353-4941 Google Maps Apple Maps OpenStreetMap
- Mailing address 804 SERVICE RD # A109F, EAST LANSING, MI, 48824-7015 (517) 884-2976 Fax (517) 432-3928 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Geriatric Medicine 207QG0300X
- Internal Medicine 207R00000X
- Internal Medicine, Cardiovascular Disease 207RC0000X
- Internal Medicine, Infectious Disease 207RI0200X
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Nurse Practitioner, Pediatrics 363LP0200X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
EAST LANSING, MI, 488247015
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.