Organization · Type 2 NPI

Sparrow Ionia Hospital

Surgery Physician · Ionia, MI

NPI number 1891879029 Active

Practice location

3565 S State Rd
Ionia, MI 48846-9416

Call (616) 523-1494 Map

Fax (616) 523-1496

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician	207X00000X	4301038199 (MI)
Surgery Physician	208600000X	4301076427 (MI)
Surgery Physician Primary	208600000X	5101014682 (MI)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

10 other providers at this address

NPI record

NPI: 1891879029
Entity type: Organization (Type 2)
Issued: Oct 24, 2006
Last updated: Mar 11, 2024
Status: Active
Subpart: Yes of Sparrow Health System

Other names

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Sparrow Ionia Hospital General Surgery · doing business as
University of Michigan Health-Sparrow Ionia General Surgery · 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 1891879029

Sparrow Ionia Hospital's National Provider Identifier is 1891879029, issued on Oct 24, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Ionia, MI. The record was last updated on Mar 11, 2024.