| NPI | 1467070508 |
|---|---|
| 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 | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2024-03-29 |