NPI Profile for SPARROW EATON HOSPITAL in CHARLOTTE, MI.
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent Medicine |
207QA0000X | 08 | Physician/Family Practice | |
Clinic/Center |
261Q00000X | |||
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1760681159 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/16/2007 | |
| Last updated | 03/18/2024 - About 2 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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SPARROW EATON HOSPITAL
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