Organization
SPARROW CARSON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Carson City Heart & Vascular, University of Michigan Health-Sparrow
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARROW HEALTH SYSTEM
Authorized official
MISTY GUNTER RUSSIAN (REGIONAL MANAGER, PROVIDER ENROLLME)
(517) 253-6308
Entity
Organization
Contact information
Practice address
245 S 2ND ST STE 110, CARSON CITY, MI 48811-9650
(989) 584-6217
(517) 364-9605
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-7999
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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