IndividualActive
Michael Stockman, DO
NPI 1790762482 · Geriatric Medicine (Internal Medicine) Physician · St Louis Park, MN
Provider details
- NPI number
- 1790762482
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 44102 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-5041
Approximate (ZIP-level) locationGet directions
Mailing address
3850 Park Nicollet Blvd
Minneapolis, MN 55416-2527
Registry dates
- Enumerated
- 2005-12-23
- Last updated
- 2012-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.