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NPI Code Detail

MEDICARE: SPARROW CARSON HOSPITAL

MEDICARE: SPARROW CARSON HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician

General Provider Information

NPI Number : 1912648676
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPARROW CARSON HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 13008
Second Line :
City : LANSING
State : MI
Zip : 48901-3008
Country : US
Telephone Number : 517-253-6308
Fax Number : 517-253-6393
Provider Business Practice Location Address
First Line : 245 S 2ND ST
Second Line :
City : CARSON CITY
State : MI
Zip : 48811-9650
Country : US
Telephone Number : 517-364-5655
Fax Number : 517-364-5654
Authorized Official
Title or Position : VP, REVENUE CYCLE
Name : AMI SUE KIHN
Credential :
Telephone Number : 517-253-6000
Provider Enumeration Date : 04/06/2022
Last Update Date : 04/06/2022

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Practice Fax:
1144733700 — DR. BRANDY WATSON PHARMD
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1699416347 — SPARROW CARSON HOSPITAL
Practice Location Address:
245 S 2ND ST
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48811-9650
Practice Phone: 517-364-9650
Practice Fax: 517-364-9605

Directions to “SPARROW CARSON HOSPITAL ” Practice Location

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