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 |