Provider Demographics
NPI:1942520200
Name:CHRISTOPOULOS, JAMIE (DO)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:CHRISTOPOULOS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 WOODWIND TRL
Mailing Address - Street 2:
Mailing Address - City:HASLETT
Mailing Address - State:MI
Mailing Address - Zip Code:48840-8955
Mailing Address - Country:US
Mailing Address - Phone:248-505-4550
Mailing Address - Fax:
Practice Address - Street 1:1170 WOODWIND TRL
Practice Address - Street 2:
Practice Address - City:HASLETT
Practice Address - State:MI
Practice Address - Zip Code:48840-8955
Practice Address - Country:US
Practice Address - Phone:248-505-4550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101018626207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine