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Organization

EDWARD W. SPARROW HOSPITAL ASSOCIATION

Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Primary Care at Lansing Health C, University of Michigan Health-Sparrow Primary Care, Sparrow Medical Group North
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPARROW HEALTH SYSTEM
Authorized official
MISTY GUNTER RUSSIAN (SUPERVISOR)
(517) 253-6308
Entity
Organization

Contact information

Practice address
2909 E GRAND RIVER AVE STE 302, LANSING, MI 48912-4335
(517) 364-8680
(517) 364-8681
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 337-8580
(517) 337-8577

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080C310810
BCBS GROUP NUMBER
MI
Enumeration date
05/18/2006
Last updated
03/26/2024
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