Individual
DR. JULIANNE STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
148 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1569
(765) 314-3515
(833) 874-0936
Mailing address
945 N 400 W, WEST LAFAYETTE, IN 47906-4620
(615) 542-9664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01068694A
IN
207R00000X
Internal Medicine Physician
29127
TN
208000000X
Pediatrics Physician
01068694A
TN
Other
Enumeration date
06/21/2006
Last updated
11/07/2024
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