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Organization

SPARROW IONIA HOSPITAL

Active
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Organization

SPARROW IONIA HOSPITAL

Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Ionia Gastroenterology, Sparrow Medical Group Gastroenterology Ionia
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
3565 S STATE RD, IONIA, MI 48846-9416
(517) 253-6320
(517) 253-6321
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
(517) 253-6321

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
06/08/2023
Last updated
03/11/2024
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