# SPARROW EATON HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPARROW HEALTH SYSTEM
- **Other names:** University of Michigan Health-Sparrow Charlotte Internal Medicine/Pedi, Sparrow Eaton Hospital, University of Michigan Health-Sparrow Charlotte Osteopathic Neuromuscu
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760681159
- **Legal business name:** SPARROW HEALTH SYSTEM
- **Authorized official:** MISTY GUNTER RUSSIAN (SUPERVISOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (517) 253-6308

## Contact information

- **Practice address:** 616 MEIJER DR, CHARLOTTE, MI 48813-8457
- **Practice address phone:** (517) 541-5899
- **Practice address fax:** (517) 543-6952
- **Mailing address:** 8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
- **Mailing address phone:** (517) 253-6320
- **Mailing address fax:** (517) 253-6321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/16/2007
- **Last updated:** 03/18/2024