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Individual

DR. CHRISTOPHER DAVID STODDARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8098
Mailing address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8098

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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