Michael A. Stack, M.D.
Family Medicine · Ithaca, MI
UnclaimedM.D.NPI 1932146685
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2006-06-01
- Practice location
- Ithaca, MI
- Last NPPES update
- 2012-09-06
State licenses
- MI · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.