SearchIndiana207RR0500X

Michael Stack, MD PHD

NPI 1770585945 · on the registry since 2005

Practice

Address
6447 S East St Ste A
Indianapolis, IN 46227
Phone
(317) 859-6364
Fax
(317) 859-7537
Organisation at this address
Dtrc, Llc
Trusted Life Care
I. C. Pain Solutions, Pc
Total Sleep Holdings Inc
Total Sleep Services, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 2845 Greenbrier Rd, Green Bay, WI

Registry record

Primary taxonomy
207RR0500X
207RR0500X
Also registered as
1744R1102X
207RR0500X
Licence states on file
IN, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana