Individual
MICHAEL STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 E MIFFLIN ST, MADISON, WI 53703-2831
(440) 829-7172
Mailing address
3908 PAUNACK AVE, MADISON, WI 53711-1623
(440) 829-7172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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