Basic Information
| Provider Information | |||||||||
| NPI: | 1801956214 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STOKES | ||||||||
| FirstName: | ANNETTE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5050 W BROWN DEER RD | ||||||||
| Address2: | |||||||||
| City: | BROWN DEER | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532232424 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4148745000 | ||||||||
| FaxNumber: | 4148745012 | ||||||||
| Practice Location | |||||||||
| Address1: | N79W14756 APPLETON AVE | ||||||||
| Address2: | |||||||||
| City: | MENOMONEE FALLS | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530514383 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4148745000 | ||||||||
| FaxNumber: | 4148745012 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2006 | ||||||||
| LastUpdateDate: | 04/01/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 37170 020 | WI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.