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NPI Profile for SPARROW EATON HOSPITAL in GRAND LEDGE, 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 | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker |
| NPI Number | 1841079787 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/28/2023 | |
| Last updated | 11/08/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SPARROW EATON HOSPITAL
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SPARROW EATON HOSPITAL