| Organization Name: | SPARROW IONIA HOSPITAL |
| NPI Number: | 1851669055 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM ROESER (CEO) |
| Mailing Address: | 848 E Lincoln Ave Ionia |
| State: | MI US |
| Postal Code: | 488461314 |
| Phone Number: | 6165231400 |
| Fax Number: | 6165231429 |
| NPI Enumeration Date: | 12/02/2011 |
| NPI Last Update Date: | 03/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |