Healthcare Provider Details

I. General information

NPI: 1932494739
Provider Name (Legal Business Name): CHRISTOPHER FLORIAN STANKE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2011
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 MEDICAL PARK DR STE 100
AUSTELL GA
30106-6831
US

IV. Provider business mailing address

3825 MEDICAL PARK DR STE 100
AUSTELL GA
30106-6831
US

V. Phone/Fax

Practice location:
  • Phone: 470-267-1760
  • Fax:
Mailing address:
  • Phone: 470-267-1760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD61064472
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD182058
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number94030
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number61879-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: