OrganizationActive
Central Michigan Group
NPI 1124540240 · Oral and Maxillofacial Surgery Clinic/Center · East Lansing, MI
Provider details
- NPI number
- 1124540240
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Joesph Mauro, Owner
- License
- JM012412 (MI)
Practice location
231 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-8451
Phone: (517) 272-0886
Fax: (517) 272-0887
Mailing address
231 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-8451
Registry dates
- Enumerated
- 2017-07-11
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.