| NPI | 1780074088 |
|---|---|
| Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW PEDIATRIC MULTI-DISCIPLINARY CLI |
| Doing Business As | SPARROW CHILDREN'S MULTI-DISCIPLINARY SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 1060000091) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2024-03-27 |