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Organization
SPARROW CLINTON HOSPITAL
Active
Organization
SPARROW CLINTON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Sparrow Clinton Hospital Wound Clinic, University of Michigan Health-Sparrow Clinton Wound Care Services
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
805 S OAKLAND ST FL 3, SAINT JOHNS, MI 48879-2253
(989) 227-3345
(989) 227-3361
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
(517) 253-6321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
03/11/2024
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