Organization
EDWARD W SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow St. Johns OB/GYN, University of Michigan Health-Sparrow East Lansing OB/GYN, Sparrow Medical Group Ob/Gyn
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
1540 LAKE LANSING RD, SUITE 205, LANSING, MI 48912-3756
(517) 913-3910
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 913-3910
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1060000091
MI
Other
Enumeration date
10/17/2014
Last updated
03/18/2024
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