Individual
DR. MICHAEL A. STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, HCLD
Contact information
Practice address
40401 BAILEY DR, GONZALES, LA 70737-7168
(337) 962-7216
Mailing address
40401 BAILEY DR, GONZALES, LA 70737-7168
Taxonomy
Speciality
Code
Description
License number
State
246QL0901X
Diplomate Laboratory Management Specialist/Technologist
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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