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Organization

SPARROW CARSON HOSPITAL

Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow, Sparrow Medical Group Gynecologic Oncology Mt Pleasant, University of Michigan Health-Sparrow Mt. Pleasant OB/GYN
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
411 W BROADWAY ST STE B, MOUNT PLEASANT, MI 48858-2446
(517) 364-5682
(517) 364-5683
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
(517) 364-6353

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary

Other

Enumeration date
04/28/2022
Last updated
04/05/2024
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