Organization · Type 2 NPI

Edward W Sparrow Hospital Association

Family Medicine Physician · East Lansing, MI

NPI number 1124654793 Active

Practice location

2900 Hannah Blvd Ste 104
East Lansing, MI 48823-5380

Call (517) 364-8000 Map

Fax (517) 364-8001

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in East Lansing

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NPI record

NPI: 1124654793
Entity type: Organization (Type 2)
Issued: Mar 16, 2020
Last updated: Mar 27, 2024
Status: Active
Subpart: Yes of Sparrow Health System

Other names

<unavail>
Sparrow Medical Group East Lansing · doing business as
University of Michigan Health-Sparrow East Lansing Primary Care · doing business as
University of Michigan Health-Sparrow Primary Care · doing business as

Authorized official

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

Verify this record

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 1124654793

Edward W Sparrow Hospital Association's National Provider Identifier is 1124654793, issued on Mar 16, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in East Lansing, MI. The record was last updated on Mar 27, 2024.