Covenant Family Care Pllc

NPI #1225289069 in Wayne, Michigan

Provider Information

NPI Number: 1225289069
Entity Type: Organization
Organization Name: Covenant Family Care Pllc
Primary Specialty: Family Medicine
Enumeration Date: Oct 9, 2008
Last Updated: Oct 9, 2008

Practice Location

Address: 33155 ANNAPOLIS ST
City: Wayne
State: Michigan
ZIP Code: 48184-2405
Phone: (734) 593-7000

Authorized Official

Name: SARAH S. JACOB, MD
Title: OWNER
Phone: (248) 890-3603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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