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Surely the Prime Minister title wins out?

Actually, that’s an interesting question: since “Dr” usually replaces “Mr” for a man, would a male president with a doctorate be “Dr President”?

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Probably not. President would take precedent. See Chancellor Merkel for a good example (she has a PhD).

I was under the impression that German titles stacked up rather than overriding one another, like "Herr Professor Doktor". Is that wrong?

Generally that's correct, albeit pretty much only used in writing. There are, however, political titles for which, to my knowledge, that does not apply. Minister, Chancellor and President (of the BRD) should all supersede a PhD title.

Bundeskanzlerin Dr. Angela Merkel is the official formal title.

See the header here: https://www.bundesregierung.de/breg-de/service/bulletin/rede...

For University presidents, in the USA, they usually have both. Though I'm not sure that they always use both at the same time.

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