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Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Sparrow Cardiovascular & Thoracic Surgeons, University of Michigan Health-Sparrow Cardiothoracic & Vascular Surger
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARROW HEALTH SYSTEM
Authorized official
MISTY GUNTER RUSSIAN (SUPERVISOR, PROVIDER ENROLLMENT)
(517) 253-6308
Entity
Organization
Contact information
Practice address
1140 E MICHIGAN AVE STE 300, LANSING, MI 48912-1806
(517) 364-5224
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6251
(517) 364-6208
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
03/18/2024
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