Organization · Type 2 NPI

Edward W. Sparrow Hospital Association

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

NPI number 1598145997 Active

Practice location

2900 Hannah Blvd, Suite B102
East Lansing, MI 48823-5384

Call (517) 364-8070 Map

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081

Other practice locations

1200 E Michigan Ave Ste 520, Lansing, MI 48912-1899 · (517) 364-1000

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Internal Medicine) Physician Primary	207RS0010X	1060000091 (MI)
Physical Medicine & Rehabilitation Physician	208100000X	None listed

Sports Medicine (Internal Medicine) Physician: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psycho…

23 other providers at this address

NPI record

NPI: 1598145997
Entity type: Organization (Type 2)
Issued: Jun 2, 2015
Last updated: Apr 1, 2025
Status: Active
Subpart: Yes of Sparrow Health System

Other names

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University of Michigan Health-Sparrow · doing business as
University of Michigan Health-Sparrow Physical Medicine & Rehabilitation · 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 1598145997

Edward W. Sparrow Hospital Association's National Provider Identifier is 1598145997, issued on Jun 2, 2015. The primary taxonomy on file is Sports Medicine (Internal Medicine) Physician (207RS0010X), and the practice location is in East Lansing, MI. The record was last updated on Apr 1, 2025.