NPI | 1891879029 |
---|---|
Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW IONIA GENERAL SURGERY |
Entity Type | Organization |
Authorized Contact | MISTY GUNTER RUSSIAN Supervisor Provider Enrollment 517-253-6308 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: MI 5101014682) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301038199) |
208600000X Surgery (Licence: MI 4301076427) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2024-03-11 |