Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL ANDREW STACK, M.D.
Active Sole ProprietorDR. MICHAEL ANDREW STACK, M.D. is a Family Medicine healthcare provider located in ITHACA, Michigan. NPI 1932146685 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ITHACA, MI
Registration Details
- NPI Number
- 1932146685
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2006 (20.020956733292 yrs)
- Last Updated
- Sep 6, 2012
- License
-
4301064712 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 N PINE RIVER STITHACA, MI, 488471039Browse MI providers · Browse ZIP 48847
- Phone
- 9898755111
- Fax
- 9898755023
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ITHACA, MI
| Name | Credential | NPI |
|---|---|---|
| DR. RUSSELL J ANDERSON | DO | 1972578862 |
| DR. HALLIE J WILSON | DO | 1003881053 |
| DR. DAVID J FREESTONE | MD | 1801861851 |
| MR. DONALD GRAHAM PROUTY | M.D. | 1194765198 |
| DR. HILLARY AGNES SHEMES | D.O. | 1316268816 |
| JUAN JOSE MONTOYA NOVOA | MD | 1053046714 |
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.