Covenant Services Corporation

NPI #1770818650 in Saginaw, Michigan

Provider Information

NPI Number: 1770818650
Entity Type: Organization
Organization Name: Covenant Services Corporation
Primary Specialty: Nurse Practitioner
Enumeration Date: Oct 9, 2009
Last Updated: Oct 9, 2009

Practice Location

Address: 1447 N HARRISON ST
City: Saginaw
State: Michigan
ZIP Code: 48602-4727
Phone: (989) 583-6400

Authorized Official

Name: SPENCER MAIDLOW
Title: PRESIDENT
Phone: (989) 583-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X	Primary

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