Jerry Stassinopoulos in Detroit - Surgery

Jerry Stassinopoulos - NPI 1659588846

Jerry Stassinopoulos is a Surgery in Detroit, Michigan. Jerry Stassinopoulos practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jerry Stassinopoulos is 1659588846. The last update date is 2019-06-24.

Jerry Stassinopoulos's current location address is 4201 Saint Antoine St, Detroit, Michigan. You can contact this provider via phone number 3135775009. The mailing address for Jerry Stassinopoulos is 4201 Saint Antoine St, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Stassinopoulos
Address 4201 Saint Antoine St, Detroit, Michigan
Phone Number 3135775009
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1659588846
Provider Enumeration Date 2007-05-17
Last Updated Date 2019-06-24

Provider Mailing Address Detail

Address 4201 Saint Antoine St
City Detroit
State Michigan (MI)
Post Code 482012153
Phone Number 3135775009
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No DR.0062274
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Jerry Stassinopoulos

What is the Jerry Stassinopoulos's unique identification number?

The Jerry Stassinopoulos has been assigned the NPI (National Provider Identifier) Number 1659588846 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Jerry Stassinopoulos's facilities are situated?

The facilities of Jerry Stassinopoulos are physically located at the following address: 4201 Saint Antoine St, Detroit, MI, 482012153.

What is Jerry Stassinopoulos's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jerry Stassinopoulos is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1659588846 to Jerry Stassinopoulos?

The Centers for Medicare & Medicaid Services originally issued the 1659588846 to Jerry Stassinopoulos on 2007-05-17.

As of what date was the information regarding Jerry Stassinopoulos, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jerry Stassinopoulos, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-06-24.

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