Healthcare Provider Details

I. General information

NPI: 1497320295
Provider Name (Legal Business Name): MADISON STOKES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2021
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 INVERNESS CENTER DR
BIRMINGHAM AL
35242-4834
US

IV. Provider business mailing address

801 YORK ST
MANITOWOC WI
54220-4630
US

V. Phone/Fax

Practice location:
  • Phone: 205-995-5575
  • Fax: 205-995-5576
Mailing address:
  • Phone: 920-663-9008
  • Fax: 920-684-1439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD.53483
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: