Provider Demographics
NPI:1801956214
Name:STOKES, ANNETTE (MD)
Entity type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 W BROWN DEER RD
Mailing Address - Street 2:
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223-2424
Mailing Address - Country:US
Mailing Address - Phone:414-874-5000
Mailing Address - Fax:414-874-5012
Practice Address - Street 1:N79W14756 APPLETON AVE
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-4383
Practice Address - Country:US
Practice Address - Phone:414-874-5000
Practice Address - Fax:414-874-5012
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI37170 020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIG49829Medicare UPIN