Individual
DR. CODY LANE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 W JEFFERSON BLVD STE 100, SOUTH BEND, IN 46601-1993
(574) 647-1670
(574) 647-6927
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01088698A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01088698A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300026726
—
IN
Enumeration date
04/25/2019
Last updated
04/04/2024
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