Michael Andrew Stack is a Family Medicine Physician based in Ithaca, MI. Michael Andrew Stack practices in Ithaca, MI and has the professional credentials of MD. The NPI Number for Michael Andrew Stack is 1932146685 and holds a License No. 4301064712 (Michigan).
The current practice location address for Michael Andrew Stack is 121 N Pine River St, Ithaca, MI and can be reached out via phone at 989-875-5111 and via fax at 989-875-5023.
Identifier | Type | State | Issuer |
---|---|---|---|
1008870 | 01 | MI | MCLAREN |
0985726 | 01 | MI | HEALTHPLUS COMMERCIAL |
4424316 | 05 | MI | |
4424316 | 01 | MI | MOLINA |
1005781 | 01 | MI | MCLAREN |
200000005888 | 01 | MI | PHP COMMERCIAL |
0802900531 | 01 | MI | BCBSM |
0802911901 | 01 | MI | BCBSM |
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