Individual
DR. JESSE ALAN STOKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
22 S GREENE ST STE S-12D, BALTIMORE, MD 21201-1590
(724) 554-6685
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0106090
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/05/2026
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