| NPI | 1770553547 |
|---|---|
| Other Name | UNIVERSITY OF MICHIGAN HEALTH-SPARROW ITHACA PRIMARY CARE |
| Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW |
| Other Name | SPARROW MEDICAL GROUP ITHACA |
| Entity Type | Organization |
| Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2024-04-08 |