Individual
CODY PAUL CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2900 BRADFORD ST NE, GRAND RAPIDS, MI 49525-6427
(616) 885-5000
(616) 885-5020
Mailing address
2900 BRADFORD ST NE, GRAND RAPIDS, MI 49525-6427
(616) 885-5000
(616) 885-5020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.014756
OH
207RI0011X
Interventional Cardiology Physician
Primary
5101028747
MI
Other
Enumeration date
05/05/2018
Last updated
08/19/2025
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