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NPI Code Detail

MEDICARE: DR. PATRICK R STOKES MD

MEDICARE: DR. PATRICK R STOKES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician217818MN

General Provider Information

NPI Number : 1679553226
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK R STOKES MD
Provider Business Mailing Address
First Line : 1295 BANDANA BLVD N STE 142
Second Line :
City : SAINT PAUL
State : MN
Zip : 55108-5115
Country : US
Telephone Number : 651-641-7062
Fax Number : 651-641-7195
Provider Business Practice Location Address
First Line : 1875 NORTHWESTERN AVE S
Second Line :
City : STILLWATER
State : MN
Zip : 55082-7534
Country : US
Telephone Number : 651-439-4840
Fax Number : 651-439-4894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PATRICK R STOKES MD” Practice Location

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