Individual
CODY ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 494-4175
Mailing address
3554 CHIPPEWA DR, NORTON SHORES, MI 49441-4243
(231) 923-6435
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
4704324532
MI
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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