| University Of Michigan Health-sparrow Primary Care At Lansing Health C | |
|
2909 E Grand River Ave Suite 211 Lansing MI 48912-4300 | |
| (517) 364-8686 | |
| (517) 364-8685 |
| Full Name | University Of Michigan Health-sparrow Primary Care At Lansing Health C |
|---|---|
| Speciality | Family Medicine |
| Location | 2909 E Grand River Ave, Lansing, Michigan |
| Authorized Official Name and Position | Misty Gunter Russian (SUPERVISOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5172536308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Michigan Health-sparrow Primary Care At Lansing Health C 8175 Reliable Pkwy Chicago IL 60686-3008 Ph: (517) 364-8686 | University Of Michigan Health-sparrow Primary Care At Lansing Health C 2909 E Grand River Ave Suite 211 Lansing MI 48912-4300 Ph: (517) 364-8686 |
| NPI Number | 1295788404 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295788404 | NPI | - | NPPES |
| 080C361700 | Other | MI | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Ingham County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5303 S Cedar St, Lansing, MI 48911 Phone: 517-887-4311 | |
University Of Michigan Health-sparrow Lansing Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave, Suite 500, Lansing, MI 48912 Phone: 517-364-5123 Fax: 517-364-5124 | |
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