Organization
AFFILIATED DERMATOLOGISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SARAH STOKES MD (PRESIDENT)
(262) 754-4488
Entity
Organization
Contact information
Practice address
14555 W NATIONAL AVE, SUITE 190, NEW BERLIN, WI 53151-4494
(262) 754-4488
(262) 754-4940
Mailing address
13800 W NORTH AVE STE 100, BROOKFIELD, WI 53005-4977
(262) 754-4488
(262) 754-4940
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32689700
—
WI
01
—
CH8222
RAILROAD MEDICARE
WI
Enumeration date
09/27/2005
Last updated
05/28/2021
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