Individual provider · Type 1 NPI
Mark J. Stout, MD
Transplant Surgery Physician · Waukesha, WI
NPI number
1851386551
Active
Practice location
725 American Ave
Waukesha, WI 53188-5031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01069517A (IN) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 62383 (WI) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036080105 (IL) |
| Transplant Surgery Physician Primary | 204F00000X | 62383 (WI) |
Transplant Surgery Physician: A surgeon who specializes in transplant surgery.
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About NPI 1851386551
Mark J. Stout, MD's National Provider Identifier is 1851386551, issued on Sep 19, 2005. The primary taxonomy on file is Transplant Surgery Physician (204F00000X), and the practice location is in Waukesha, WI. The record was last updated on May 3, 2021.