Daniel Simon Stout, PA-C is a medical physician assistant in Grand Rapids, MI with 7 years of experience. Daniel Simon Stout, PA-C NPI is 1053838169. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
669 STOCKING AVE NW
GRAND RAPIDS, MI
ZIP 49504-176
Phone: (616) 235-1480
The NPI 1053838169 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/29/2017 and was last updated on 8/29/2017.