Organization · Type 2 NPI

Edward W. Sparrow Hospital Association

Gynecologic Oncology Physician · Lansing, MI

NPI number 1710580949 Active

Practice location

1200 E Michigan Ave Ste 640
Lansing, MI 48912-1800

Call (517) 364-5682 Map

Fax (517) 364-5683

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081

Specialties and licenses

Taxonomy	Code	License
Gynecologic Oncology Physician Primary	207VX0201X	None listed

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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NPI record

NPI: 1710580949
Entity type: Organization (Type 2)
Issued: Nov 19, 2020
Last updated: Mar 27, 2024
Status: Active
Subpart: Yes of Sparrow Health System

Other names

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Sparrow Medical Group Gynecologic Oncology · doing business as
University of Michigan Health-Sparrow Gynecologic Oncology · 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 1710580949

Edward W. Sparrow Hospital Association's National Provider Identifier is 1710580949, issued on Nov 19, 2020. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Lansing, MI. The record was last updated on Mar 27, 2024.