Jerry Stassinopoulos M.D.

NPI 1659588846 - Surgery - 208600000X

NPI Details
NPI 1659588846
Gender Male
Enumeration Date 05/17/2007
Last Updated 02/04/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
4201 SAINT ANTOINE ST
6-UHC
DETROIT MI, 48201-2153, US
Phone (313) 577-5009
Fax
Business Location
24908 REEDS POINTE DR
NOVI MI, 48374-2540, US
Phone (248) 349-6658
Fax
Toxanomy
Taxonomy Code 208600000X
License State Michigan
License Number 4301084022
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According to our database, Dr. Jerry Stassinopoulos M.D. NPI is 1659588846, taxonomy code is 208600000X and license number is 4301084022, license state is located at Michigan. Jerry Stassinopoulos M.D. physically located at 4201 Saint Antoine St, Detroit MI, 48201-2153. NPI Number Jerry Stassinopoulos M.D. has the Individual type.

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1659588846 NPI number is provided on an as is basis without warranty of any kind. 1659588846 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Stassinopoulos M.D. are for informational purposes only.