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Organization

EDWARD W. SPARROW HOSPITAL ASSOCIATION

Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Sparrow Medical Group Eastside, University of Michigan Health-Sparrow Primary Care at Lansing Health C, University of Michigan Health-Sparrow 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
2909 E GRAND RIVER AVE, SUITE 211, LANSING, MI 48912-4300
(517) 364-8686
(517) 364-8685
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-3008
(517) 364-8686
(517) 364-8685

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080C361700
BCBS GROUP NUMBER
MI
Enumeration date
05/18/2006
Last updated
03/26/2024
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