Matthew A Stack, PA C

NPI #1033108667 in Ithaca, Michigan

Provider Information

NPI Number
1033108667
Entity Type
Individual
Name
Matthew A Stack, PA C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
PA C
Enumeration Date
Oct 17, 2005
Last Updated
Feb 5, 2026

Practice Location

Address
121 N PINE RIVER ST
City
Ithaca
ZIP Code
48847-1039
Phone
(989) 287-0662

Specialties & Taxonomy Codes

Specialty
Psychologist
Physician Assistant - MedicalMedical
Physician Assistant

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