Organization

Edward W Sparrow Hospital Association

May also be knows as University Of Michigan Health-sparrow Pediatric Multi-disciplinary Cli

Pediatrics Physician in Lansing, MI(View on Map)

Legal Business Name

Edward W Sparrow Hospital Association

Also Known As

University Of Michigan Health-sparrow Pediatric Multi-disciplinary Cli

NPI Number

1780074088

NPI Type

Organization

Enumeration Date

01/26/2015

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

1060000091

Contact
Information

Purpose

Mailing
Location

Address

8175 RELIABLE PKWY
1200 E MICHIGAN AVE STE 460

City

Chicago
Lansing

State

IL
MI

Postal Code

60686-0081
48912-1897

Country

US
US

Telephone Number

(517) 364-6253
(517) 364-5490

Authorized Official

Name

Misty Russian

Title or Position

SUPERVISOR, PROVIDER ENROLLMENT

Telephone Number

(517) 253-6308

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/27/2024

Provider Address

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Organization

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Organization

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