| NPI | 1952044729 |
|---|---|
| Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW OKEMOS JOLLY ROAD PRIMARY CARE |
| Doing Business As | SPARROW MEDICAL GROUP - OKEMOS JOLLY RD |
| Doing Business As | UNIVERSITY OF MICHIGAN HEALTH-SPARROW PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2024-03-27 |