| NPI | 1346609930 |
|---|---|
| Doing Business As | SPARROW NEONATOLOGY |
| Entity Type | Organization |
| Authorized Contact | DIANE GALLUPS Director, Professional Billing Serv 517-364-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |