DANA MARY STOUT

KENOSHA, WI
NPI1811379225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  6479-33)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WI  158976)
Enumeration Date2015-06-22
Last Update Date2015-12-03
Business Address
Ms. DANA MARY STOUT APNP
7401 104TH AVENUE, SUITE 110 COMPREHENSIVE ORTHOPAEDICS, S.C.
KENOSHA, WI 53142
Phone number: 414-325-7246
Mailing Address
Ms. DANA MARY STOUT APNP
7401 104TH AVE STE 110 COMPREHENSIVE ORTHOPAEDICS, S.C.
KENOSHA, WI 53142-7845
Phone number: 262-764-5595
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