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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