Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW A STACK, PA C
ActiveMATTHEW A STACK, PA C is a Physician Assistant healthcare provider located in ITHACA, Michigan. NPI 1033108667 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ITHACA, MI
Registration Details
- NPI Number
- 1033108667
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2005 (20.643824135315 yrs)
- Last Updated
- Feb 5, 2026
- Licenses
-
6301007939 (MI)2782 (AZ)5601003961 (MI)
Practice Information
- Address
-
121 N PINE RIVER STITHACA, MI, 488471039Browse MI providers · Browse ZIP 48847
- Phone
- 9892870662
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ITHACA, MI
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS J KNIGHT | PA C | 1396719878 |
| CATHERINE MARIE CHIMO | PA | 1508896523 |
| CRYSTAL MORRISSEY | PA-C | 1497900591 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.