Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
SMG Bariatric Surgery, University of Michigan Health-Sparrow Bariatrics & Weight Management
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
2900 HANNAH BLVD, SUITE 216, EAST LANSING, MI 48823-5384
(517) 364-8100
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-8080
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
12/09/2011
Last updated
03/27/2024
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