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Dr. Michael T Stack, MDPHD
Rheumatology Physician in Indianapolis, Indiana
NPI 1770585945

Michael T Stack is a Rheumatology Physician based in Indianapolis, IN and is specialized in Rheumatology. Michael T Stack practices in Indianapolis, IN and has the professional credentials of MDPHD. The NPI Number for Michael T Stack is 1770585945 and holds a License No. 01026374 (Indiana).

The current practice location address for Michael T Stack is 6447 S East St Ste A, Indianapolis, IN and can be reached out via phone at 317-859-6364 and via fax at 317-859-7537. You can also correspond with Michael T Stack through the mailing address at 6551 FORREST COMMONS BLVD, INDIANAPOLIS, IN - 46227-2392 (mailing address contact number: ).

Location: 6447 S East St Ste A, Indianapolis, IN, 46227-2392
person
Provider Profile Details
NPI Number
1770585945
Provider Name
Michael T Stack
Credential
MDPHD
Provider Entity Type
Individual
Gender
Male
Address
6447 S East St Ste A, Indianapolis, IN, 46227-2392
Phone Number
317-859-6364
Fax Number
317-859-7537
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100133510B 05 IN
1265457774 01 OFFICE/GROUP NPI
100083069 05 WI
000000318888 01 IN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6447 S East St Ste A
City
State
Zip
46227-2119
Phone Number
317-859-6364
Fax Number
317-859-7537
person
Provider Business Mailing Address Details
Address
6551 Forrest Commons Blvd
City
State
Zip
46227-2392
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Research Study
Taxonomy
License No.
01026374 (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
License No.
01026374 (Indiana)
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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