Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow, University of Michigan Health-Sparrow Physical Medicine & Rehabilitation
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
2900 HANNAH BLVD, SUITE B102, EAST LANSING, MI 48823-5384
(517) 364-8070
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6200
(517) 364-6208
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
1060000091
MI
208100000X
Physical Medicine & Rehabilitation Physician
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Other
Enumeration date
06/02/2015
Last updated
04/01/2025
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