Edward W. Sparrow Hospital Association

NPI #1821041013 in Dewitt, Michigan

Provider Information

NPI Number: 1821041013
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: May 18, 2006
Last Updated: Mar 26, 2024

Practice Location

Address: 13191 SCHAVEY RD
Address 2: SUITE 3
City: Dewitt
State: Michigan
ZIP Code: 48820-9036
Phone: (517) 669-9109

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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