Search › Michigan › 363AM0700X
Daniel Stout, PA-C
NPI 1053838169 · on the registry since 2017
Practice
- Address
- 669 Stocking Ave Nw
Grand Rapids, MI 49504 - Phone
- (616) 235-1480
- Organisation at this address
- Cherry Street Services, Inc
Cherry Street Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan