person
Dr. Michael Andrew Stack, MD
Family Medicine Physician in Ithaca, Michigan
NPI 1932146685

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.

Location: 121 N Pine River St, Ithaca, MI, 48847-1039
person
Provider Profile Details
NPI Number
1932146685
Provider Name
Michael Andrew Stack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
121 N Pine River St, Ithaca, MI, 48847-1039
Phone Number
989-875-5111
Fax Number
989-875-5023
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
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
institution
Provider Business Practice Location Address Details
Address
121 N Pine River St
City
State
Zip
48847-1039
Phone Number
989-875-5111
Fax Number
989-875-5023
person
Provider Business Mailing Address Details
Address
121 N Pine River St
City
State
Zip
48847-1039
Phone Number
989-875-5111
Fax Number
989-875-5023
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
4301064712 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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