| Covenant Family Care PLLC | |
|
33155 Annapolis St Wayne MI 48184-2405 | |
| (734) 593-7000 | |
| Not Available |
| Full Name | Covenant Family Care PLLC |
|---|---|
| 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 |
|---|---|
| Covenant Family Care PLLC 7432 Rafford Ln West Bloomfield MI 48322-3194 | Covenant Family Care PLLC 33155 Annapolis St Wayne MI 48184-2405 Ph: (734) 593-7000 |
| NPI Number | 1225289069 |
|---|---|
| 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 | (NU) | Primary |
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