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Organization

EDWARD W. SPARROW HOSPITAL ASSOCIATION

Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
SMG Williamston, University of Michigan Health-Sparrow Williamston Primary Care
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
301 WILLIAMSTON CENTER RD, WILLIAMSTON, MI 48895-8502
(517) 253-5125
(517) 253-5126
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6253

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1060000091
MI

Other

Enumeration date
06/09/2016
Last updated
03/26/2024
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