SearchMichigan251E00000X

Cody Stephens

NPI 1790436889 · on the registry since 2022 · sole proprietor

Practice

Address
13101 Eckles Rd Ste 102
Plymouth, MI 48170
Phone
(313) 288-9736
Organisation at this address
Wakeco Holding Company
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
251E00000X
251E00000X
Also registered as
164W00000X
2279H0200X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan