IndividualActive
Todd Moyer-Brailean, DO
NPI 1124095278 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · East Lansing, MI
Provider details
- NPI number
- 1124095278
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101009519 (MI)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 5101009519 (MI)
Allopathic & Osteopathic Physicians
Practice location
4660 S Hagadorn Rd Ste 210
East Lansing, MI 48823-5353
Phone: (517) 355-4205
Fax: (517) 364-8119
Approximate (ZIP-level) locationGet directions
Mailing address
804 Service Rd
East Lansing, MI 48824-7015
Registry dates
- Enumerated
- 2006-03-07
- Last updated
- 2023-06-27
- Certified
- 2023-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.