John Stathakios
John Stathakios is a Technician/Technologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2019.
- Licensed in
- MI
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
275 Michigan St NE Fl 8Grand Rapids, MI 49503-2531
Phone: (616) 391-8810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 4351051157 (MI) |
|---|---|
| Technician/Technologist | Taxonomy 156F00000X |
Record details
| NPI number | 1164996260 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 11, 2019 |
| Last updated in NPPES | February 12, 2025 |
| Certification date | February 12, 2025 |
| Mailing address | 275 Michigan St Ne Fl 8, Grand Rapids, MI 49503-2531 |
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