Mark J Stout, MD

NPI #1851386551 in Waukesha, Wisconsin

Provider Information

NPI Number: 1851386551
Entity Type: Individual
Name: Mark J Stout, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Transplant Surgery
Credential: MD
Enumeration Date: Sep 19, 2005
Last Updated: May 3, 2021

Practice Location

Address: 725 AMERICAN AVE
City: Waukesha
State: Wisconsin
ZIP Code: 53188-5031
Phone: (608) 263-1530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Transplant Surgery	204F00000X	Primary

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