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 |