MICHAEL STACK MD PC

ITHACA, MI
NPI1376580175
Doing Business AsFAMILY MEDICAL CARE
Entity TypeOrganization
Authorized ContactMICHAEL ANDREW STACK
Owner
989-875-5111
Organization Subpart ?No
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
(Licence: MI  4301064712)
Additional Taxonomies207Q00000X Family Medicine
363LF0000X Nurse Practitioner, Family
Enumeration Date2006-06-01
Last Update Date2009-01-08
Business Address
MICHAEL STACK MD PC
121 N PINE RIVER ST
ITHACA, MI 48847-1039
Phone number: 989-875-5111
Mailing Address
MICHAEL STACK MD PC
121 N PINE RIVER ST
ITHACA, MI 48847-1039
Phone number: 989-875-5111