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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 Ionia Pain Center, University of Michigan Health-Sparrow Lansing Pain Management, Sparrow Pain Management 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
1200 E MICHIGAN AVE LOWR LEVEL, LANSING, MI 48912-1800
(517) 364-5330
(517) 364-5335
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-5330
(517) 364-5335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
163WC0400X
Case Management Registered Nurse
—
NULL
163WC0400X
Case Management Registered Nurse
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
03/26/2024
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