NPI | 1225728603 |
---|---|
Doing Business As | SPARROW MEDICAL GROUP GASTROENTEROLOGY |
Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW LANSING GASTROENTEROLOGY |
Entity Type | Organization |
Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-05-10 |
Last Update Date | 2024-03-27 |