| NPI | 1124502851 | 
|---|---|
| Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW UROLOGY | 
| Doing Business As | SPARROW MEDICAL GROUP UROLOGY | 
| Entity Type | Organization | 
| Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 208800000X Urology | 
| Enumeration Date | 2018-09-19 | 
| Last Update Date | 2024-03-27 |