NPI | 1023659802 |
---|---|
Doing Business As | SPARROW PRE-ANESTHESIA TESTING CLINIC |
Entity Type | Organization |
Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 207L00000X Anesthesiology |
207R00000X Internal Medicine | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2019-10-03 |
Last Update Date | 2024-03-27 |