Organization
SPARROW CARSON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Sparrow Medical Group Orthopedics Carson City, University of Michigan Health-Sparrow
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
245 S 2ND ST, CARSON CITY, MI 48811-9650
(989) 584-6320
(989) 584-6426
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
(517) 253-6321
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101016305
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200E910960
BCBSM GRP PIN
MI
Enumeration date
05/15/2006
Last updated
04/05/2024
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