Individual
MICHAEL N STIFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8450 SEASON PKWY, MAIL STOP 32900A, WOODBURY, MN 55125-4402
(651) 702-5300
(651) 702-5305
Mailing address
8100 34TH AVE S, MAIL STOP 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-5463
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36978
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
455226100
—
MN
Enumeration date
02/02/2006
Last updated
02/09/2011
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