MICHAEL ANDREW STACK

ITHACA, MI
NPI1932146685
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301064712)
Enumeration Date2006-06-01
Last Update Date2012-09-06
Business Address
Dr. MICHAEL ANDREW STACK M.D.
121 N PINE RIVER ST
ITHACA, MI 48847-1039
Phone number: 989-875-5111
Mailing Address
Dr. MICHAEL ANDREW STACK M.D.
121 N PINE RIVER ST
ITHACA, MI 48847-1039
Phone number: 989-875-5111
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