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Organization

COVENANT MEDICAL GROUP

Active
Parent organization
COVENANT MEDICAL CENTER, INC
Other names
Covenant Medical Group Specialists
Organization subpart
Yes

Provider details

NPI number
Legal business name
COVENANT MEDICAL CENTER, INC
Authorized official
MR. DAVID F ALBROUGH (DIRECTOR PATIENT ADMINISTRATION)
(989) 583-6011
Entity
Organization

Contact information

Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4011
(989) 583-2811
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4011
(989) 583-2811

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician
207RP1001X
Pulmonary Disease Physician
207RX0202X
Medical Oncology Physician
207T00000X
Neurological Surgery Physician
207X00000X
Orthopaedic Surgery Physician
208000000X
Pediatrics Physician
2080P0205X
Pediatric Endocrinology Physician
208100000X
Physical Medicine & Rehabilitation Physician
208600000X
Surgery Physician
Primary
2086S0122X
Plastic and Reconstructive Surgery Physician
2086S0129X
Vascular Surgery Physician

Other

Enumeration date
05/30/2012
Last updated
05/30/2012
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