Provider Demographics
NPI:1922121839
Name:GRADUATE MEDICAL EDUCATION INC.
Entity Type:Organization
Organization Name:GRADUATE MEDICAL EDUCATION INC.
Other - Org Name:SPARROW HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVORAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-355-4718
Mailing Address - Street 1:3309 TRAPPERS COVE TRAIL
Mailing Address - Street 2:APT # 2C
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-8385
Mailing Address - Country:US
Mailing Address - Phone:517-944-1246
Mailing Address - Fax:
Practice Address - Street 1:1210 E. MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912
Practice Address - Country:US
Practice Address - Phone:517-364-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital