Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sparrow Ionia Hospital

Organization Family Medicine Physician · NPI 1295801108

Sparrow Ionia Hospital is a Family Medicine Physician in Portland, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

9751 E Grand River Ave
Portland, MI 48875-9774
Phone: (517) 647-6722
Fax: (517) 647-6838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 238631 (MI)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1295801108
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSparrow Health System
Authorized official Misty Russian — Supervisor. Provider Enrollment · (517) 253-6308
Other names Smg Portland; University Of Michigan Health-Sparrow Portland Primary Care
NPI enumeratedNovember 24, 2006
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address8175 Reliable Pkwy, Chicago, IL 60686-0081

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