Mark J Stout, MD
Mark J Stout, MD is a Cardiac Surgery in Waukesha, Wisconsin. Graduated from Saint Louis University School of Medicine in 1985, 41 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana and Wisconsin.
- Years since qualifying
- 41
- Trained at
- Saint Louis University School of Medicine
- Licensed in
- IL, IN, WI
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
725 American AveWaukesha, WI 53188-5031
Phone: (608) 263-1530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Transplant Surgery Physician (primary) | Taxonomy 204F00000X · Licence 62383 (WI) |
|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Taxonomy 208G00000X · Licence 01069517A (IN) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Taxonomy 208G00000X · Licence 62383 (WI) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Taxonomy 208G00000X · Licence 036080105 (IL) |
Record details
| NPI number | 1851386551 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 19, 2005 |
| Last updated in NPPES | May 3, 2021 |
| Certification date | May 3, 2021 |
Medicare enrollment
| Medicare specialty | CARDIAC SURGERY |
|---|---|
| Also practises | THORACIC SURGERY |
| Medical school | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1985 (41 years in practice) |
| Group practice | Prohealth Medical Group Inc — 472 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Waukesha
-
West Suburban Cardiothoracic Surgery SC
N14W23833 Stone Ridge Dr Ste 240, Waukesha, WI 53188-1157 · (262) 522-6900