Provider Demographics
NPI:1871295873
Name:STAKES, DANIELLE CHRISTINE (DO)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:CHRISTINE
Last Name:STAKES
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 1:26127 LORAIN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-2741
Mailing Address - Country:US
Mailing Address - Phone:440-777-3500
Mailing Address - Fax:216-201-6671
Practice Address - Street 1:26127 LORAIN RD
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-2741
Practice Address - Country:US
Practice Address - Phone:440-777-3500
Practice Address - Fax:216-201-6671
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program