Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Other names
Sparrow Neurology Clinic, University of Michigan Health-Sparrow Neurosurgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Authorized official
MARGARET ANN DIMOND (PRESIDENT/CEO, UM HEALTH REGIONAL N)
(517) 364-6000
Entity
Organization
Contact information
Practice address
1200 E MICHIGAN AVE STE 340, LANSING, MI 48912-1894
(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
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130B310080
BCBS GROUP NUMBER
MI
Enumeration date
05/26/2006
Last updated
03/11/2024
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