Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Westshire Primary Care, University of Michigan Health-Sparrow Primary Care, Sparrow Medical Group West
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
7335 WESTSHIRE DR, SUITE 100, LANSING, MI 48917-9703
(517) 622-2788
(517) 622-0460
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 622-2788
(517) 622-0460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080B310210
BCBS GROUP NUMBER
MI
Enumeration date
05/20/2006
Last updated
03/26/2024
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