Individual
DR. JAMES STATHAKIOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 FLECKENSTEIN RD, SUITE 1, FLINT, MI 48507-3042
(810) 877-7370
(810) 230-9338
Mailing address
3400 FLECKENSTEIN RD, SUITE 1, FLINT, MI 48507-3042
(810) 877-7370
(810) 230-9338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301063353
MI
208100000X
Physical Medicine & Rehabilitation Physician
4301063353
MI
225400000X
Rehabilitation Practitioner
JS063353
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103517420
—
MI
Enumeration date
06/07/2006
Last updated
11/12/2014
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