| NPI | 1124389846 |
|---|---|
| Other Name | COVENANT MIDLEVEL PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | DAVID F ALBROUGH Director Patient Administration 989-583-6011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |