Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Family Medicine Residency, Sparrow Family Medicine Residency Mason, Sparrow Family Medicine Residency Central
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARROW HEALTH SYSTEM
Authorized official
MISTY GUNTER RUSSIAN (SUPERVISOR)
(517) 253-6308
Entity
Organization
Contact information
Practice address
800 E COLUMBIA ST, MASON, MI 48854-1381
(517) 244-8940
(517) 244-8941
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 244-8940
(517) 244-8941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080C360910
BCBS GROUP NUMBER
MI
Enumeration date
05/20/2006
Last updated
03/26/2024
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