Individual
MR. MICKEY DINER STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343-9347
(612) 200-3950
Mailing address
12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343-9347
(612) 200-3950
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
06/04/2026
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