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

Dr. Michael T Stack, MDPHD

Individual provider Research Study Specialist · NPI 1770585945

Dr. Michael T Stack, MDPHD is a Research Study Specialist in Indianapolis, Indiana. Works from 2 locations. Licensed in Indiana and Wisconsin.

Licensed in
IN, WI
In the registry since
2005
Specialties on file
3

Practice location Address checks out

6447 S East St Ste A
Indianapolis, IN 46227-2119
Phone: (317) 859-6364
Fax: (317) 859-7537
Show map & directions

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

Additional practice locations (1)

  • 2845 Greenbrier Rd, Green Bay, WI 54311 — (920) 288-8100

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence 71508 (WI)
Research Study Specialist Taxonomy 1744R1102X · Licence 01026374 (IN)
Rheumatology Physician Taxonomy 207RR0500X · Licence 01026374 (IN)

Record details

NPI number1770585945
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022
Mailing address6551 Forrest Commons Blvd, Indianapolis, IN 46227-2392

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