Edward W Sparrow Hospital Association

NPI #1437400413 in Holt, Michigan

Provider Information

NPI Number: 1437400413
Entity Type: Organization
Organization Name: Edward W Sparrow Hospital Association
Subpart: Yes (part of a larger organization)
Parent Organization: SPARROW HEALTH SYSTEM
Primary Specialty: Family Medicine
Enumeration Date: Oct 1, 2012
Last Updated: Mar 26, 2024

Practice Location

Address: 2040 AURELIUS RD STE 22
City: Holt
State: Michigan
ZIP Code: 48842-1367
Phone: (517) 694-2217

Authorized Official

Name: MISTY GUNTER RUSSIAN
Title: SUPERVISOR, PROVIDER ENROLLMENT
Phone: (517) 253-6308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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