Individual
MONICA STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 W WISCONSIN AVE, MILWAUKEE, WI 53233-1923
(414) 931-8181
Mailing address
600 E LOCUST ST, MILWAUKEE, WI 53212-2545
(414) 372-3748
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
89044-030
WI
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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