Organization
EDWARD W SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Primary Care, Sparrow Medical Group - Okemos Jolly Rd, University of Michigan Health-Sparrow Okemos Jolly Road Primary Care
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
2446 JOLLY RD STE B, OKEMOS, MI 48864-3514
(517) 253-6308
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
(517) 253-6393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
03/27/2024
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