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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
University of Michigan Health-Sparrow Hospitalists, Sparrow Medical Group Hospitalist
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
1215 E MICHIGAN AVE FL 7, LANSING, MI 48912-1811
(517) 364-3380
(517) 364-3399
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-5880
(517) 364-5887
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700C311650
BCBS GROUP NUMBER
MI
Enumeration date
05/25/2006
Last updated
03/26/2024
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