Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Edward W Sparrow Hospital Association

Organization Pediatrics Physician · NPI 1780074088

Edward W Sparrow Hospital Association provides Pediatrics Physician services in Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

1200 E Michigan Ave Ste 460
Lansing, MI 48912-1897
Phone: (517) 364-5490
Fax: (517) 364-5499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 1060000091 (MI)

Record details

NPI number1780074088
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSparrow Health System
Authorized official Misty Russian — Supervisor, Provider Enrollment · (517) 253-6308
Other names Sparrow Children'S Multi-Disciplinary Specialty Clinic; University Of Michigan Health-Sparrow Pediatric Multi-Disciplinary Cli
NPI enumeratedJanuary 26, 2015
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address8175 Reliable Pkwy, Chicago, IL 60686-0081

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