| NPI | 1396110797 | 
|---|---|
| Doing Business As | SPARROW ORTHOPEDICS | 
| Entity Type | Organization | 
| Authorized Contact | DIANE S. GALLUPS Director, Professional Billing 517-364-6251 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 1060000091) | 
| Enumeration Date | 2015-12-10 | 
| Last Update Date | 2015-12-10 |