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Michael David Stout, AA
Anesthesiologist Assistant in Milwaukee, Wisconsin
NPI 1255403812

Michael David Stout is an Anesthesiologist Assistant based in Milwaukee, WI. Michael David Stout practices in Milwaukee, WI and has the professional credentials of AA. The NPI Number for Michael David Stout is 1255403812 and holds a License No. 74017 (Wisconsin).

The current practice location address for Michael David Stout is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-8700 and via fax at 414-259-1522.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255403812
Provider Name
Michael David Stout
Credential
AA
Provider Entity Type
Individual
Gender
Male
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-805-8700
Fax Number
414-259-1522
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255403812 05 WI
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
Milwaukee
State
Wisconsin
Zip
53226-3522
Phone Number
414-805-8700
Fax Number
414-259-1522
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
Milwaukee
State
Wisconsin
Zip
53226-3522
Phone Number
414-805-8700
Fax Number
414-259-1522
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
367H00000X
License No.
74017 (Wisconsin)
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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