Organization
SPARROW IONIA HOSPITAL
Active
Other names
SMG Saranac, University of Michigan Health-Sparrow Saranac Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY GUNTER RUSSIAN (SUPERVISOR. PROVIDER ENROLLMENT)
(517) 253-6308
Entity
Organization
Contact information
Practice address
107 N BRIDGE ST, SARANAC, MI 48881-5121
(517) 364-6287
(517) 364-6204
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6287
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1060000167
MI
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/11/2024
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