Organization
EDWARD W SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Pre-Anesthesia Testing, Sparrow Pre-Anesthesia Testing Clinic
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 101, LANSING, MI 48912-1800
(517) 364-5552
(517) 364-5544
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
(517) 253-6321
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/03/2019
Last updated
03/27/2024
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