NPI | 1043562465 |
---|---|
Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW LANSING INTERNAL MEDICINE |
Doing Business As | SMG LANSING INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2012-10-09 |
Last Update Date | 2024-03-18 |