IndividualActive
Michael Stern, MS, QRC, CRC, CCM
NPI 1487996880 · Rehabilitation Counselor · Plymouth, MN
Provider details
- NPI number
- 1487996880
- Entity type
- Individual
- Primary specialty
- Rehabilitation CounselorRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, QRC, CRC, CCM
- Sex
- Male
- Sole proprietor
- No
- License
- 5142/229 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12805 34th Ave N
Plymouth, MN 55441-2236
Phone: (763) 208-8452
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 421251
Plymouth, MN 55442-0251
Registry dates
- Enumerated
- 2013-03-23
- Last updated
- 2013-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.