Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Sparrow Medical Group Gynecologic Oncology, University of Michigan Health-Sparrow Gynecologic Oncology
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 640, LANSING, MI 48912-1800
(517) 364-5682
(517) 364-5683
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-8670
(517) 364-8671
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
03/27/2024
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