| NPI | 1275572745 |
|---|---|
| Doing Business As | SPARROW SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | DIANE S GALLUPS Director Professional Billing 517-364-6251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301042756) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301039222) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-06-21 |