Organization
EDWARD W SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Holt Primary Care, SMG Holt, 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
2040 AURELIUS RD STE 22, HOLT, MI 48842-1367
(517) 694-2217
(176) 942-6555
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-7999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
03/26/2024
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