Doctor Name: | THERESA S. COVERT |
NPI Number: | 1972581148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 46745 |
Business Practice Address: | 9855 Hospital Dr Ste 275 Maple Grove, MN - 553694778 |
Business Phone Number: | 9529933282 |
Business Fax Number: | 9529931425 |
Mailing Address: | 8170 33rd Ave S, Po Box 1309 Mail Stop 21110q MINNEAPOLIS |
State: | MN |
Postal Code: | 554254516 |
Phone Number: | 9529931440 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2006 |
NPI Last Update Date: | 02/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 46745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |