# 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 Lansing Infectious Disease, SMG Infectious Disease
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508438995
- **Legal business name:** SPARROW HEALTH SYSTEM
- **Authorized official:** MISTY GUNTER RUSSIAN (SUPERVISOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (517) 253-6308

## Contact information

- **Practice address:** 1200 E MICHIGAN AVE STE 370, LANSING, MI 48912-1897
- **Practice address phone:** (517) 364-5300
- **Practice address fax:** (517) 364-5325
- **Mailing address:** PO BOX 13008, LANSING, MI 48901-3008
- **Mailing address phone:** (517) 253-6320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2021
- **Last updated:** 03/26/2024