Macular Renewal Center Pllc

NPI #1407716574 in Flint, Michigan

Provider Information

NPI Number: 1407716574
Entity Type: Organization
Organization Name: Macular Renewal Center Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Nov 12, 2025
Last Updated: Nov 12, 2025

Practice Location

Address: 5300 GATEWAY CTR STE B
City: Flint
State: Michigan
ZIP Code: 48507-3930
Phone: (810) 410-7383

Authorized Official

Name: DR. EDWARD PATRICK STACK, MD
Title: OWNER
Phone: (810) 410-7383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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