Individual
MR. CORNELIUS EUGENE STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4025 W ROOSEVELT DRIVE, MILWAUKEE, WI 53216
(262) 397-7465
Mailing address
4025 W ROOSEVELT DRIVE, MILWAUKEE, WI 53216
(262) 397-7465
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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