| University Of Michigan Health-sparrow | |
|
11017 W 3rd St Fowler MI 48835-9161 | |
| (989) 593-2525 | |
| (989) 593-3385 |
| Full Name | University Of Michigan Health-sparrow |
|---|---|
| Speciality | Family Medicine |
| Location | 11017 W 3rd St, Fowler, 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 |
|---|---|
| University Of Michigan Health-sparrow 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (989) 584-3971 | University Of Michigan Health-sparrow 11017 W 3rd St Fowler MI 48835-9161 Ph: (989) 593-2525 |
| NPI Number | 1619124328 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619124328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Fowler Osteopathic Clinic P.c./lyons Clinic Of Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11017 W. Third Street, Box 19, Fowler, MI 48835 Phone: 989-593-2525 Fax: 989-593-3385 |