Organization
COVENANT SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SPENCER MAIDLOW (PRESIDENT)
(989) 583-6400
Entity
Organization
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4000
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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