Organization
SPARROW EATON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Hayes Green Beach Memorial Hospital, UM Health-Sparrow Charlotte General Surgery
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
111 LANSING ST, SUITE 220, CHARLOTTE, MI 48813-2400
(517) 543-9564
(517) 541-1668
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
(517) 253-6321
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301054410
MI
Other
Enumeration date
04/15/2008
Last updated
03/18/2024
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