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Organization

EDWARD W SPARROW HOSPITAL ASSOCIATION

Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow East Lansing Primary Care, University of Michigan Health-Sparrow Primary Care, Sparrow Medical Group East Lansing
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 STE 104, EAST LANSING, MI 48823-5380
(517) 364-8000
(517) 364-8001
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
(517) 253-6321

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/16/2020
Last updated
03/27/2024
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