# EDWARED W. SPARROW HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDWARD W. SPARROW HOSPITAL
- **Other names:** Physicial Medicine & Rehabilitation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881640548
- **Legal business name:** EDWARD W. SPARROW HOSPITAL
- **Authorized official:** MR. CHRIS EUGENE BERGMAN (SENIOR VICE PRESIDENT / CFO)
- **Authorized official phone:** (517) 364-5400

## Contact information

- **Practice address:** 1200 E MICHIGAN AVE, SUITE 570, LANSING, MI 48912-1800
- **Practice address phone:** (517) 364-5260
- **Practice address fax:** (517) 364-5296
- **Mailing address:** PO BOX 13008, LANSING, MI 48901-3008
- **Mailing address phone:** (517) 364-6253
- **Mailing address fax:** (517) 364-6204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 03/06/2008