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
1111 DELAFIELD ST STE 308, WAUKESHA, WI 53188-3407
(262) 754-4488
Mailing address
13800 W NORTH AVE STE 100, BROOKFIELD, WI 53005-4977
(262) 754-4488
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21299500
—
WI
01
—
DF4745
RAILROAD MEDICARE
WI
Enumeration date
06/14/2006
Last updated
05/28/2021
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