Organization
COVENANT HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA G SULLIVAN (CRNA)
(989) 583-5411
Entity
Organization
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-5483
Mailing address
3690 WHITE TRILLIUM DRIVE E, SAGINAW, MI 48603
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4704223989
MI
Other
Enumeration date
02/07/2007
Last updated
12/31/2007
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