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Organization

EDWARD W. SPARROW HOSPITAL ASSOCIATION

Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Sparrow Lansing OB GYN Associates, University of MIchigan Health-Sparrow Okemos OB/GYN, University of Michigan Health-Sparrow Lansing OB/GYN
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, SUITE 445, LANSING, MI 48912-1800
(517) 364-5210
(517) 364-5216
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-5210
(517) 364-5216

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160C311300
BCBS GROUP NUMBER
MI
Enumeration date
05/25/2006
Last updated
03/26/2024
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