Individual
CODY EDWARD CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
(616) 252-4953
Mailing address
3905 12TH ST, WAYLAND, MI 49348-9552
(765) 730-6711
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
0200135A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300077237
—
IN
Enumeration date
04/09/2019
Last updated
01/29/2025
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