Individual
MR. MICHAEL G STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, QRC, CRC, CCM
Contact information
Practice address
12805 34TH AVE N, PLYMOUTH, MN 55441-2236
(763) 208-8452
Mailing address
PO BOX 421251, PLYMOUTH, MN 55442-0251
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
5142/229
MN
Other
Enumeration date
03/23/2013
Last updated
03/23/2013
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