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Matthew A Stack, PAC
Physician Assistant in Flint, Michigan
NPI 1033108667

Matthew A Stack is a Physician Assistant based in Flint, MI. Matthew A Stack practices in Flint, MI and has the professional credentials of PAC. The NPI Number for Matthew A Stack is 1033108667 and holds a License No. 5601003961 (Michigan).

The current practice location address for Matthew A Stack is 420 W 5Th Ave, Flint, MI and can be reached out via phone at 810-257-3705 and via fax at 989-629-8145. You can also correspond with Matthew A Stack through the mailing address at 420 W 5TH AVE, FLINT, MI - 48503-2445 (mailing address contact number: 810-257-3705).

Location: 420 W 5Th Ave, Flint, MI, 48503-2445
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Provider Profile Details
NPI Number
1033108667
Provider Name
Matthew A Stack
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
420 W 5Th Ave, Flint, MI, 48503-2445
Phone Number
810-257-3705
Fax Number
989-629-8145
Provider Enumeration Date
10/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0852900260 01 MI BCBSM
762246 05 AZ
P00140431 01 AZ RAILROAD
50155318 01 NM MEDICAID
institution
Provider Business Practice Location Address Details
Address
420 W 5Th Ave
City
State
Zip
48503-2445
Phone Number
810-257-3705
Fax Number
989-629-8145
person
Provider Business Mailing Address Details
Address
420 W 5Th Ave
City
State
Zip
48503-2445
Phone Number
810-257-3705
Fax Number
989-629-8145
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
6301007939 (Michigan)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
5601003961 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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