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Organization
SPARROW IONIA HOSPITAL
Active
Organization
SPARROW IONIA HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Ionia Primary Care, SMG Ionia
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
550 E WASHINGTON ST, IONIA, MI 48846-2202
(616) 523-1600
(616) 523-1601
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6200
(517) 364-6208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
238550
MI
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/19/2007
Last updated
03/11/2024
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