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
Fax: (651) 702-5305
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093787103 NPPES
Minnesota MEDICAID 455226100

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