Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN STODDARD, M.D.
ActiveJONATHAN STODDARD, M.D. is a Sports Medicine healthcare provider located in LIVONIA, Michigan. NPI 1699125260 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · LIVONIA, MI
Registration Details
- NPI Number
- 1699125260
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2016 (10.183663260171 yrs)
- Last Updated
- Jun 3, 2025
- Licenses
-
0116029023 (VA)4301513427 (MI)
Practice Information
- Address
-
37595 7 MILE RD STE 210LIVONIA, MI, 481521489Browse MI providers · Browse ZIP 48152
- Phone
- 7348535694
- Fax
- 7344309388
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.