| NPI | 1568867190 |
|---|---|
| Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW NEPHROLOGY |
| Doing Business As | SMG NEPHROLOGY |
| Entity Type | Organization |
| Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 1060000091) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 1060000091) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2024-03-26 |