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Organization
COVENANT SERVICES CORPORATION
Active
Organization
COVENANT SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER MAIDLOW (PRESIDENT)
(989) 583-6400
Entity
Organization
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-6400
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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