| Sparrow Medical Group Lansing | |
|
1200 E Michigan Ave Suite 325 Lansing MI 48912-1800 | |
| (517) 364-5160 | |
| (517) 364-5165 |
| Full Name | Sparrow Medical Group Lansing |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 E Michigan 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 |
|---|---|
| Sparrow Medical Group Lansing 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 364-5160 | Sparrow Medical Group Lansing 1200 E Michigan Ave Suite 325 Lansing MI 48912-1800 Ph: (517) 364-5160 |
| NPI Number | 1427004183 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427004183 | NPI | - | NPPES |
| 080C311160 | Other | MI | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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