COUNTY OF INGHAM

NPI # 

Practice Address:

509 Burcham Dr

East Lansing, MI, 48823-2750

Practice Phone:

517-898-3871

Practice Fax:

517-484-5169

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X