Organization · Type 2 NPI

Edward W. Sparrow Hospital Association

Obesity Medicine (Internal Medicine) Physician · East Lansing, MI

NPI number 1083982748 Active

Practice location

2900 Hannah Blvd, Suite 216
East Lansing, MI 48823-5384

Call (517) 364-8100 Map

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081

Specialties and licenses

Taxonomy	Code	License
Obesity Medicine (Internal Medicine) Physician Primary	207RB0002X	None listed
Surgery Physician	208600000X	None listed

Obesity Medicine (Internal Medicine) Physician: A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilize…

23 other providers at this address

NPI record

NPI: 1083982748
Entity type: Organization (Type 2)
Issued: Dec 9, 2011
Last updated: Mar 27, 2024
Status: Active
Subpart: Yes of Sparrow Health System

Other names

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SMG Bariatric Surgery · doing business as
University of Michigan Health-Sparrow Bariatrics & Weight Management · doing business as

Authorized official

Misty Gunter Russian
Supervisor, Provider Enrollment
(517) 253-6308

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083982748

Edward W. Sparrow Hospital Association's National Provider Identifier is 1083982748, issued on Dec 9, 2011. The primary taxonomy on file is Obesity Medicine (Internal Medicine) Physician (207RB0002X), and the practice location is in East Lansing, MI. The record was last updated on Mar 27, 2024.