MEDICARE: DR. ERIN ELIZABETH CODY 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
1	207R00000X	Internal Medicine Physician	4301095692	MI

General Provider Information

NPI Number	:	1477538148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN ELIZABETH CODY MD

Provider Business Mailing Address
First Line	:	95 NATURE WAY
Second Line	:
City	:	OKEMOS
State	:	MI
Zip	:	48864-1242
Country	:	US
Telephone Number	:	800-207-4919
Fax Number	:	615-309-6536

Provider Business Practice Location Address
First Line	:	6452 MILLENNIUM
Second Line	:	SUITE 100
City	:	LANSING
State	:	MI
Zip	:	48917-7881
Country	:	US
Telephone Number	:	800-207-4919
Fax Number	:	615-309-6536

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	12/02/2010

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