Organization · Type 2 NPI

Edward W Sparrow Hospital Association

Vascular & Interventional Radiology Physician · Lansing, MI

NPI number 1629517420 Active

Practice location

1215 E Michigan Ave, West Tower 4th Floor
Lansing, MI 48912-1811

Call (517) 364-3480 Map

Fax (517) 364-3270

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081

Specialties and licenses

Taxonomy	Code	License
Vascular & Interventional Radiology Physician Primary	2085R0204X	1060000091 (MI)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

706 other providers at this address

NPI record

NPI: 1629517420
Entity type: Organization (Type 2)
Issued: Feb 14, 2017
Last updated: Mar 27, 2024
Status: Active
Subpart: Yes of Sparrow Health System

Other names

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Heart and Vascular Center - Interventional Radiology Department · doing business as
University of Michigan Health-Sparrow Interventional Radiology · doing business as

Authorized official

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

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About NPI 1629517420

Edward W Sparrow Hospital Association's National Provider Identifier is 1629517420, issued on Feb 14, 2017. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Lansing, MI. The record was last updated on Mar 27, 2024.