| Sparrow Carson Hospital | |
| 
					11017 W 3rd St Fowler MI 48835-9161  | |
| (989) 593-2525 | |
| (989) 593-3385 | 
| Full Name | Sparrow Carson Hospital | 
|---|---|
| Speciality | Family Medicine | 
| Location | 11017 W 3rd St, Fowler, 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 | 
|---|---|
| Sparrow Carson Hospital 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (989) 584-3971  | Sparrow Carson Hospital 11017 W 3rd St Fowler MI 48835-9161 Ph: (989) 593-2525  | 
| NPI Number | 1619124328 | 
|---|---|
| Provider Enumeration Date | 08/25/2008 | 
| Last Update Date | 04/08/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619124328 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
Fowler Osteopathic Clinic P.c./lyons Clinic Of Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11017 W. Third Street, Box 19, Fowler, MI 48835 Phone: 989-593-2525 Fax: 989-593-3385  |