Sparrow Clinton Hospital

NPI #1922735539 in Saint Johns, Michigan

Provider Information

NPI Number: 1922735539
Entity Type: Organization
Organization Name: Sparrow Clinton Hospital
Subpart: Yes (part of a larger organization)
Parent Organization: SPARROW HEALTH SYSTEM
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Enumeration Date: Aug 3, 2022
Last Updated: Mar 11, 2024

Practice Location

Address: 805 S OAKLAND ST FL 3
City: Saint Johns
State: Michigan
ZIP Code: 48879-2253
Phone: (517) 253-6320

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X
Surgery	208600000X
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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