Individual
DR. CHRISTOPHER DAVID STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101014899
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310B510660
BCBSM
MI
01
—
310E011330
BCBS GROUP
MI
05
—
4878328
—
MI
01
—
CI8050
MEDICARE RR GROUP
MI
01
—
P00316327
RAILROAD MEDICARE
MI
Enumeration date
06/14/2006
Last updated
02/24/2009
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