Covenant Family Care Pllc | |
33155 Annapolis St Wayne MI 48184-2405 | |
(734) 593-7000 | |
Not Available |
Full Name | Covenant Family Care Pllc |
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Speciality | Family Medicine |
Location | 33155 Annapolis St, Wayne, Michigan |
Authorized Official Name and Position | Sarah S. Jacob (OWNER) |
Authorized Official Contact | 2488903603 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Covenant Family Care Pllc 7432 Rafford Ln West Bloomfield MI 48322-3194 Ph: () - | Covenant Family Care Pllc 33155 Annapolis St Wayne MI 48184-2405 Ph: (734) 593-7000 |
NPI Number | 1225289069 |
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Provider Enumeration Date | 10/09/2008 |
Last Update Date | 10/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225289069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
K & S Family Practice Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2901 S Newburgh Rd, Wayne, MI 48184 Phone: 734-729-7220 Fax: 734-729-7227 | |
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