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1164996260
JOHN STATHAKIOS
GRAND RAPIDS, MI
NPI
1164996260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 4351051157)
Additional Taxonomies
156F00000X Technician/Technologist
Enumeration Date
2019-01-11
Last Update Date
2023-06-19
Business Address
JOHN STATHAKIOS
330 BARCLAY AVE NE STE 300
GRAND RAPIDS, MI 49503-2527
Phone number: 616-391-8810
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Mailing Address
JOHN STATHAKIOS
330 BARCLAY AVE NE STE 300
GRAND RAPIDS, MI 49503-2527
Phone number: 616-391-8810
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