JOHN STATHAKIOS

GRAND RAPIDS, MI
NPI1164996260
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MI  4351051157)
Additional Taxonomies156F00000X Technician/Technologist
Enumeration Date2019-01-11
Last Update Date2023-06-19
Business Address
JOHN STATHAKIOS
330 BARCLAY AVE NE STE 300
GRAND RAPIDS, MI 49503-2527
Phone number: 616-391-8810
Mailing Address
JOHN STATHAKIOS
330 BARCLAY AVE NE STE 300
GRAND RAPIDS, MI 49503-2527
Phone number: 616-391-8810