Stiffman, Michael N
Stiffman, Michael N is an individual health care provider with primary practice located at 8450 Season Pkwy Mail Stop 32900A, Woodbury MN 55125-4402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stiffman, Michael N can be contacted via phone (651) 702-5300.Contact Information
Primary practice address
8450 Season Pkwy Mail Stop 32900A
Woodbury MN 55125-4402
Phone: (651) 702-5300
Fax: (651) 702-5305
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36978 | Minnesota |
Profile Details
NPI number | 1093787103 |
---|---|
LBN Legal business name | Stiffman, Michael N |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Feb 9th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093787103 | NPPES |
Minnesota | MEDICAID | 455226100 |
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