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Organization

EDWARD W. SPARROW HOSPITAL ASSOCIATION

Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Diabetes & Endocrinology, Sparrow Adult Health Services, University of Michigan Health-Sparrow East Lansing Diabetes & Endocrin
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
1200 E MICHIGAN AVE, SUITE 340, LANSING, MI 48912-1800
(517) 364-5955
(517) 364-5959
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6253
(517) 364-6204

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110C311310
BCBS GROUP NUMBER
MI
Enumeration date
05/25/2006
Last updated
03/27/2024
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