Organization
EDWARD W SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Urology, Sparrow Medical Group Urology
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
1140 E MICHIGAN AVE STE 300, LANSING, MI 48912-1806
(517) 364-5655
(517) 364-5655
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
03/27/2024
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