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Individual

MONICA A STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1366 E SUMNER ST # 1002, HARTFORD, WI 53027-1614
(877) 279-5960
Mailing address
8911 N CAPITAL OF TEXAS HWY STE 1110, AUSTIN, TX 78759-7203
(877) 279-5960

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
62020
TN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
66649-20
WI

Other

Enumeration date
03/31/2015
Last updated
12/31/2025
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