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Organization
SPARROW EATON HOSPITAL
Active
Organization
SPARROW EATON HOSPITAL
Active
Other names
HAYES GREEN BEACH MEMORIAL HOSPITAL INTERNAL MEDICINE, HAYES GREEN BEACH MEMORIAL HOSPITAL, Sparrow Eaton Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MERRITT (DIRECTOR OF PHYSICIAN PRACTICES)
(517) 543-1050
Entity
Organization
Contact information
Practice address
123 LANSING ST, SUITE 3A, CHARLOTTE, MI 48813-1696
(517) 543-0600
Mailing address
1701 LAKE LANSING RD, SUITE 100, LANSING, MI 48912-3798
(517) 485-0001
(517) 485-1138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B31000
BCBSM
MI
Enumeration date
11/20/2007
Last updated
02/13/2020
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