Michael Stack MD PC

NPI #1376580175 in Ithaca, Michigan

Provider Information

NPI Number
1376580175
Entity Type
Organization
Organization Name
Michael Stack MD PC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jun 1, 2006
Last Updated
Jan 8, 2009

Practice Location

Address
121 N PINE RIVER ST
City
Ithaca
ZIP Code
48847-1039
Phone
(989) 875-5111

Authorized Official

Name
DR. MICHAEL ANDREW STACK, MD
Title
OWNER
Phone
(989) 875-5111

Specialties & Taxonomy Codes

Specialty
Family Medicine
Nurse Practitioner - FamilyFamily
Clinic/Center - Rural HealthRural Health

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