Individual
CODY BLAINE OBERLY-BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN FNP-BC
Contact information
Practice address
322 E 13 MILE RD, ROYAL OAK, MI 48073-2643
(586) 404-0443
Mailing address
322 E 13 MILE RD, ROYAL OAK, MI 48073-2643
(586) 404-0443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704365135NSA250DG
MI
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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