Organization
COVENANT NEUROLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARISE VALENTINE M. D. (DOCTOR)
(248) 569-5476
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD STE 200, SOUTHFIELD, MI 48075-3750
(248) 569-5476
Mailing address
4245 S BEECH DALY ST, DEARBORN HEIGHTS, MI 48125-1567
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4301053752
MI
Other
Enumeration date
02/10/2009
Last updated
04/01/2009
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