# EDWARD W SPARROW HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPARROW HEALTH SYSTEM
- **Other names:** University of Michigan Health-Sparrow St. Johns OB/GYN, University of Michigan Health-Sparrow East Lansing OB/GYN, Sparrow Medical Group Ob/Gyn
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033513148
- **Legal business name:** SPARROW HEALTH SYSTEM
- **Authorized official:** MISTY GUNTER RUSSIAN (SUPERVISOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (517) 253-6308

## Contact information

- **Practice address:** 1540 LAKE LANSING RD, SUITE 205, LANSING, MI 48912-3756
- **Practice address phone:** (517) 913-3910
- **Mailing address:** 8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
- **Mailing address phone:** (517) 913-3910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 1060000091 | MI | Yes |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 03/18/2024