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Individual

DR. DONALD MICHAEL STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1101 15TH ST NW, WASHINGTON, DC 20005-5002
(202) 798-0100
Mailing address
811 4TH ST NW, UNIT 1005, WASHINGTON, DC 20001-4902
(803) 586-1513

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD041636
DC
207Q00000X
Family Medicine Physician
MD041636
DC
207R00000X
Internal Medicine Physician
Primary
MD041636
DC
208D00000X
General Practice Physician
MD041636
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102944
SC
Enumeration date
03/22/2006
Last updated
03/18/2021
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