| NPI | 1306893078 |
|---|---|
| Doing Business As | SMG ST JOHNS |
| Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW ST. JOHNS PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2024-03-11 |