Organization · Type 2 NPI
Michael Stack MD PC
Rural Health Clinic/Center · Ithaca, MI
NPI number
1376580175
Active
Practice location
121 N Pine River St
Ithaca, MI 48847-1039
Fax (989) 875-5023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | 4301064712 (MI) |
| Family Nurse Practitioner | 363LF0000X | None listed |
Rural Health Clinic/Center: Definition to come...
8 other providers at this address
- Mymichigan Medical Center AlmaRural Health Clinic/Center Ithaca, MI NPI 1538301668
- Mymichigan Medical Center AlmaClinic/Center Ithaca, MI NPI 1881592608
- Trauma and Addiction Solutions PLLCMental Health Clinic/Center (Including Community Mental Health Center) Ithaca, MI NPI 1174381974
- Aubree Akers, FNPFamily Nurse Practitioner Ithaca, MI NPI 1982321378
- Cora J. Pavlik, FNPFamily Nurse Practitioner Ithaca, MI NPI 1043704133
- Elizabeth Marie Hackert-Neff, MA LPCProfessional Counselor Ithaca, MI NPI 1528210366
- Matthew A. Stack, PA CPhysician Assistant Ithaca, MI NPI 1033108667
- Michael Andrew Stack, MDFamily Medicine Physician Ithaca, MI NPI 1932146685
Other rural health clinic/center providers in Ithaca
About NPI 1376580175
Michael Stack MD PC's National Provider Identifier is 1376580175, issued on Jun 1, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Ithaca, MI. The record was last updated on Jan 8, 2009.