Dr Thomas J Stout, DO | |
1227 W State St, Belding, MI 48809-9246 | |
(616) 794-0940 | |
Not Available |
Full Name | Dr Thomas J Stout |
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Gender | Male |
Speciality | Family Medicine |
Location | 1227 W State St, Belding, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396774865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 5101008219 (Michigan) | Primary |
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Mailing Address | Practice Location Address |
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Dr Thomas J Stout, DO 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Dr Thomas J Stout, DO 1227 W State St, Belding, MI 48809-9246 Ph: (616) 794-0940 |
Trisha Lynne Slocum, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1227 W State St, Belding, MI 48809 Phone: 616-794-0940 | |
Charles R Barker Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 W State St, Ste 3a, Belding, MI 48809 Phone: 616-794-1810 Fax: 616-794-1947 | |
Chelsea Ann Goodman, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1227 W State St, Belding, MI 48809 Phone: 616-794-0940 |