Michael Stack, M.D

NPI 1932146685 · on the registry since 2006 · sole proprietor

Practice

Address: 121 N Pine River St
Ithaca, MI 48847
Phone: (989) 875-5111
Fax: (989) 875-5023
Organisation at this address: Michael Stack Md Pc
Mymichigan Medical Center Alma
Trauma And Addiction Solutions Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-09-06

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 Michigan