Individual
ALAN ROY STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8573 COUNTY ROAD 64, DAPHNE, AL 36526
(251) 621-2244
(251) 621-7209
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00018113
AL
207N00000X
Dermatology Physician
18113
AL
207N00000X
Dermatology Physician
Primary
MD.18113
AL
207ND0101X
MOHS-Micrographic Surgery Physician
MD.18113
AL
Other
Enumeration date
04/13/2006
Last updated
12/29/2023
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