Individual provider · Type 1 NPI
James Stathakios Iii, MD
Student in an Organized Health Care Education/Training Program · Toledo, OH
NPI number
1255913752
Active
Practice location
3000 Arlington Ave
Toledo, OH 43614-2595
Mailing address
579 Flora Valley Ct
Rochester Hills, MI 48307-4784
Other practice locations
- 4160 John R St Ste 615, Detroit, MI 48201-2022 · (313) 745-4195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1255913752
James Stathakios Iii, MD's National Provider Identifier is 1255913752, issued on Apr 23, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Toledo, OH. The record was last updated on Jun 30, 2022.