NPI 1568046209

Edward W Sparrow Hospital Association

Organisation Pain Medicine Physician Lansing, MI

Practice location

Address: 1200 E Michigan Ave Lowr Level, Lansing, MI 48912-1800
Phone: (517) 364-5330
Fax: (517) 364-5335
Mailing address: 8175 Reliable Pkwy, Chicago, IL 60686-0081

Authorised official

Name: Misty Gunter Russian
Title: Supervisor, Provider Enrollment
Phone: (517) 253-6308

Registered specialties (3)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Michigan →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Michigan →

Case Management Registered Nurse

Nursing Service Providers Taxonomy 163WC0400X

Other Registered Nurse providers in Michigan →

Registry record

NPI: 1568046209
Entity type: Organization
NPI issued: 10 May 2021
Record last updated: 26 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.