SPARROW CARSON HOSPITAL NPI 1265177810

NPI Information

  • NPI: 1265177810
  • Provider Name: SPARROW CARSON HOSPITAL
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Organization
  • Other Name: SPARROW MEDICAL GROUP GYNECOLOGIC ONCOLOGY MT PLEASANT
  • Address: 411 W BROADWAY ST STE B
    MOUNT PLEASANT, MI
    ZIP 48858
  • Phone: (517) 364-5682

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NPI Details

SPARROW CARSON HOSPITAL is a gynecologic oncology obstetrics gynecology in Mount Pleasant, MI. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. SPARROW CARSON HOSPITAL NPI is 1265177810. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sparrow Medical Group Gynecologic Oncology Mt Pleasant.

The provider's business location address is:

411 W BROADWAY ST STE B
MOUNT PLEASANT, MI
ZIP 48858-446
Phone: (517) 364-5682
Fax: (517) 364-5683

The provider's authorized official is Misty Gunter Russian .
The authorized official title is Supervisor, Provider Enrollment and has the following contact phone number (517) 253-6308.

The enumeration date for this NPI number is 4/28/2022 and was last updated on 4/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0201XObstetrics & GynecologyGynecologic OncologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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