Individual
DR. HEIDI STOUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22201 MOROSS RD STE 50, DETROIT, MI 48236-2166
(313) 343-7774
Mailing address
22201 MOROSS RD STE 50, DETROIT, MI 48236-2166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351044639
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2019
Last updated
06/27/2019
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