| NPI | 1568046209 |
|---|---|
| Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW LANSING PAIN MANAGEMENT |
| Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW IONIA PAIN CENTER |
| Doing Business As | SPARROW PAIN MANAGEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 163WC0400X Registered Nurse, Case Management | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-03-26 |