Michael David Stout in Milwaukee - Anesthesiologist Assistant
Michael David Stout - NPI 1255403812
Michael David Stout is a Anesthesiologist Assistant in Milwaukee, Wisconsin. Michael David Stout practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Michael David Stout is 1255403812. The last update date is 2023-07-13.
Michael David Stout's current location address is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148058700 and fax number 4142591522. The mailing address for Michael David Stout is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael David Stout |
|---|---|
| Address | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4148058700 |
| Fax Number | 4142591522 |
| Sole Proprietor | N |
| Credentials | AA |
NPI Number Detail
| NPI Number | 1255403812 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2023-07-13 |
Provider Mailing Address Detail
| Address | 9200 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532263522 |
| Phone Number | 4148058700 |
| Fax Number | 4142591522 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | 74017 |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1255403812 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael David Stout by the Centers for Medicare & Medicaid Services?
The Michael David Stout has been assigned the NPI (National Provider Identifier) 1255403812. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael David Stout's physical address?
The Michael David Stout is physically located at 9200 W Wisconsin Ave, in the city of Milwaukee, WI, with the postal code 532263522.
What is Michael David Stout's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael David Stout's area of specialization is Anesthesiologist Assistant, and the corresponding taxonomy code that categorizes this field of practice is 367H00000X.
On what date did the Michael David Stout receive its 1255403812 assignment from the Centers for Medicare & Medicaid Services?
The Michael David Stout was assigned its 1255403812 by the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the information pertaining to Michael David Stout most recently updated or revised?
The details related to Michael David Stout, including its address, specialty, and other relevant information, were last updated or revised on 2023-07-13.
NPI Number: 1366446767
Address: 835 Se Bishop Blvd, Pullman, WA