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

Dr. Michael Andrew Stack, MD

Individual provider Family Medicine Physician · NPI 1932146685

Dr. Michael Andrew Stack, MD is a Family Practice in Ithaca, Michigan. Graduated from Wayne State University School of Medicine in 1994, 32 years ago. Practices with Mymichigan Medical Center Alma, a 140-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301064712 (MI)

Record details

NPI number1932146685
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2006
Last updated in NPPESSeptember 6, 2012
Mailing address121 N Pine River St, Ithaca, MI 48847-1039

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Mymichigan Medical Center Alma — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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