# EDWARD W. SPARROW HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** 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:** 1033162326
- **Legal business name:** SPARROW HEALTH SYSTEM
- **Authorized official:** MISTY GUNTER RUSSIAN (SUPERVISOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (517) 253-6308

## Contact information

- **Practice address:** 1140 E MICHIGAN AVE STE 300, LANSING, MI 48912-1806
- **Practice address phone:** (517) 364-5224
- **Mailing address:** 8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
- **Mailing address phone:** (517) 364-6251
- **Mailing address fax:** (517) 364-6208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 03/18/2024