| NPI | 1790980712 |
|---|---|
| Doing Business As | SMG IONIA |
| Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW IONIA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MI 238550) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2024-03-11 |