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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 Women's Health, University of Michigan Health-Sparrow Maternal Fetal Medicine, Sparrow Women's 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 STE 345, LANSING, MI 48912-1894
(517) 364-5610
(517) 364-5614
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-3008
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
05/25/2006
Last updated
03/26/2024
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