Organization
EDWARD W SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Sparrow Wound & Hyperbaric Clinic, University of MIchigan Health-Sparrow Wound Care & Hyperbaric Service
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
1210 W SAGINAW ST, LANSING, MI 48915-1927
(517) 364-7750
(517) 364-7757
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-7750
(517) 364-7757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
03/27/2024
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