Cortez Cody Giles

Individual provider Active NPI Peer Specialist · Richmond, MI

NPI 1043022882 · NPPES record last updated Jan 21, 2025

Key facts

NPI
1043022882
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
400 Stoddard Rd
Richmond, MI 48062-2505
Phone
(810) 392-2167
NPI assigned
Jan 20, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MI Yes

Addresses

Primary practice location

400 Stoddard Rd
Richmond, MI 48062-2505

Mailing address

400 Stoddard Rd
Richmond, MI 48062-2505
Phone (810) 392-2167

Other providers in Richmond, MI

All providers in Richmond, MI · Peer Specialist in Michigan

Sources for this page

Verify at the official NPI Registry.