| NPI | 1417575556 |
|---|---|
| Former Legal Business Name | COVENANT PATHOLOGY ASSOCIATES PC |
| Entity Type | Organization |
| Authorized Contact | DAVID L. STOCKMAN President 989-341-5078 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2024-03-29 |