Organization
EDWARD W SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Pediatric Multi-Disciplinary Cli, Sparrow Children's Multi-Disciplinary Specialty Clinic
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 460, LANSING, MI 48912-1897
(517) 364-5490
(517) 364-5499
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1060000091
MI
Other
Enumeration date
01/26/2015
Last updated
03/27/2024
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