Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Other names
Sparrow Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Authorized official
MRS. DIANE S GALLUPS (DIRECTOR PROFESSIONAL BILLING)
(517) 364-6251
Entity
Organization
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 550, LANSING, MI 48912-1800
(517) 364-5388
(517) 364-5386
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-5388
(517) 364-5386
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301039222
MI
208200000X
Plastic Surgery Physician
Primary
4301042756
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700C316560
BCBS GRP #
MI
Enumeration date
06/06/2006
Last updated
06/21/2013
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