person
Edward P Stack, MD
Ophthalmology Physician in Flint, Michigan
NPI 1801899885

Edward P Stack is a Ophthalmology Physician based in Flint, MI. Edward P Stack practices in Flint, MI and has the professional credentials of MD. The NPI Number for Edward P Stack is 1801899885 and holds a License No. 4301065179 (Michigan).

The current practice location address for Edward P Stack is 5300 Gateway Ctr, Flint, MI and can be reached out via phone at 810-720-9111 and via fax at 810-720-9119.

Location: 5300 Gateway Ctr, Flint, MI, 48507-3930
person
Provider Profile Details
NPI Number
1801899885
Provider Name
Edward P Stack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5300 Gateway Ctr, Flint, MI, 48507-3930
Phone Number
810-720-9111
Fax Number
810-720-9119
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15474 01 MA SPECTERA
5100110 01 MI AETNA
4774225 05 MI
C6993 01 MI MCARE
6736673005 01 MI CIGNA
110201 01 MI CARE CHOICES
1802511821 01 MI BCBSM
4301065179 01 MI STATE LICENSE NUMBER
000000010198 01 MI CAPE MEDICAID
028341 01 MI MIDWEST HEALTH
4604520 05 MI
institution
Provider Business Practice Location Address Details
Address
5300 Gateway Ctr
City
State
Zip
48507-3930
Phone Number
810-720-9111
Fax Number
810-720-9119
person
Provider Business Mailing Address Details
Address
5300 Gateway Ctr
City
State
Zip
48507-3930
Phone Number
810-720-9111
Fax Number
810-720-9119
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
License No.
4301065179 (Michigan)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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