Organization
SPARROW CARSON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow, University of Michigan Health-Sparrow Carson City Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARROW HEALTH SYSTEM
Authorized official
MISTY GUNTER RUSSIAN (REGIONAL MANAGER, PROVIDER ENROLLME)
(517) 253-6308
Entity
Organization
Contact information
Practice address
245 S 2ND ST STE 110, CARSON CITY, MI 48811-9650
(517) 364-5655
(517) 364-5654
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-7999
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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