Edward W. Sparrow Hospital Association

NPI #1396110797 in Lansing, Michigan

Provider Information

NPI Number: 1396110797
Entity Type: Organization
Organization Name: Edward W. Sparrow Hospital Association
Primary Specialty: Physician Assistant
Enumeration Date: Dec 10, 2015
Last Updated: Dec 10, 2015

Practice Location

Address: 1215 E MICHIGAN AVE
Address 2: 6 WEST
City: Lansing
State: Michigan
ZIP Code: 48912-1811
Phone: (517) 364-1000

Authorized Official

Name: DIANE S. GALLUPS
Title: DIRECTOR, PROFESSIONAL BILLING
Phone: (517) 364-6251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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