MARK J STOUT

WAUKESHA, WI
NPI1851386551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204F00000X Transplant Surgery
(Licence: WI  62383)
Additional Taxonomies208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IN  01069517A)
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: WI  62383)
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IL  036080105)
Enumeration Date2005-09-19
Last Update Date2021-05-03
Business Address
MARK J STOUT MD
725 AMERICAN AVE
WAUKESHA, WI 53188-5031
Phone number: 608-263-1530
Mailing Address
MARK J STOUT MD
725 AMERICAN AVE
WAUKESHA, WI 53188-5031
Phone number: