Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Stack MD PC

Organization Family Medicine Physician · NPI 1376580175

Michael Stack MD PC is a Family Medicine Physician in Ithaca, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 N Pine River St
Ithaca, MI 48847-1039
Phone: (989) 875-5111
Fax: (989) 875-5023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 4301064712 (MI)
Family Medicine Physician Taxonomy 207Q00000X (MI)
Family Nurse Practitioner Taxonomy 363LF0000X (MI)

Record details

NPI number1376580175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Stack — Owner · (989) 875-5111
Other names Family Medical Care
NPI enumeratedJune 1, 2006
Last updated in NPPESJanuary 8, 2009
Mailing address121 N Pine River St, Ithaca, MI 48847-1039

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