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Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Other names
Sparrow Perinatal Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Authorized official
MRS. DIANE S GALLUPS (DIRECTOR PROFESSIONAL BILLING)
(517) 364-6251
Entity
Organization
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 345, LANSING, MI 48912-1800
(517) 364-5610
(517) 364-5614
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-5610
(517) 364-5614
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160C310820
BCBS GROUP NUMBER
MI
Enumeration date
05/25/2006
Last updated
06/21/2013
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