Individual
JONATHAN STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37595 7 MILE RD STE 210, LIVONIA, MI 48152-1489
(734) 853-5694
(734) 430-9388
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116029023
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4301513427
MI
Other
Enumeration date
06/15/2016
Last updated
06/03/2025
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