Organization
EDWARD W SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
SMG Nephrology, University of Michigan Health-Sparrow Nephrology
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 STE 700, LANSING, MI 48912-1837
(517) 913-4050
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
1060000091
MI
363L00000X
Nurse Practitioner
1060000091
MI
Other
Enumeration date
10/24/2014
Last updated
03/26/2024
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