Michael T Stout, M.D.

NPI #1447372750 in Kentwood, Michigan

Provider Information

NPI Number: 1447372750
Entity Type: Individual
Name: Michael T Stout, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Apr 6, 2007
Last Updated: Mar 2, 2021

Practice Location

Address: 4444 KALAMAZOO AVE SE
City: Kentwood
State: Michigan
ZIP Code: 49508-4600
Phone: (616) 391-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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