| NPI | 1598145997 |
|---|---|
| Doing Business As | SPARROW SPORTS MEDICINE CLINIC |
| Doing Business As | UNVIERSITY OF MICHIGAN HEALTH-SPARROW SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MISTY GUNTER RUSSIAN Supervisor Provider Enrollment 517-253-6308 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: MI 1060000091) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2024-03-26 |