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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 Herbert-Herman Cancer Center, Sparrow Regional Cancer Center
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 200, LANSING, MI 48912-1806
(517) 364-9402
(517) 487-3148
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-2890
(517) 364-2886
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700C311320
BCBS GROUP NUMBER
MI
Enumeration date
06/06/2006
Last updated
04/22/2025
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