| NPI | 1801414941 |
|---|---|
| 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 | 207RR0500X Internal Medicine Rheumatology |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2024-03-31 |