COVENANT NEUROLOGICAL SERVICES, PC
Ambulatory Health at Greenfield Rd, Southfield, MI

License number
Michigan 4301053752
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. CHARISE VALENTINE M. D.
Title: DOCTOR
Phone: (248) 569-5476
Address
Address 2
23077 Greenfield Rd STE 200, Southfield, MI 48075
4245 S Beech Daly St, Dearborn Heights, MI 48125
National Provider ID: 1669611059
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COVENANT NEUROLOGICAL SERVICES, PC

Southfield, MI

Status:
Inactive
Registration:
Oct 30, 2008
Addresses:
23077 Greenfield STE 200, Southfield, MI 48075 (Physical)
Michigan (Mailing)
State ID:
02110J
Business type:
Domestic Profit Corporation
Expiration:
7-15-2011
Agent:
Charise L Valentine

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