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NPI Code Detail

MEDICARE: CODY ALAN OVERMYER MD

MEDICARE: CODY ALAN OVERMYER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician4301507304MI

General Provider Information

NPI Number : 1477059160
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY ALAN OVERMYER MD
Provider Business Mailing Address
First Line : 1105 SIXTH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2345
Country : US
Telephone Number : 231-935-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1105 SIXTH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2345
Country : US
Telephone Number : 231-935-6380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2018
Last Update Date : 01/27/2026

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Directions to “ CODY ALAN OVERMYER MD” Practice Location

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