Provider Demographics
NPI:1699833897
Name:STERN, ARIES RAE (DO)
Entity Type:Individual
Prefix:DR
First Name:ARIES
Middle Name:RAE
Last Name:STERN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5047 WEST MAIN ST STE 314
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-1001
Mailing Address - Country:US
Mailing Address - Phone:269-544-2218
Mailing Address - Fax:268-544-2208
Practice Address - Street 1:6146 WEST MAIN ST SUITE B
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009
Practice Address - Country:US
Practice Address - Phone:269-544-2218
Practice Address - Fax:269-544-2208
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI51010077752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OM 23100Medicare ID - Type Unspecified