1033108667 Matthew A Stack, PA C
Physician Assistant
Active
Basic Information
- Full Name
- Matthew A Stack, PA C
- Gender
- Male
- Enumeration Date
- October 17, 2005
- Last Update
- May 10, 2024
Practice Location
- Address
- 121 N PINE RIVER ST
ITHACA, MI 488471039 - Phone
- (989) 287-0662
Mailing Address
- Address
- 121 N PINE RIVER ST
ITHACA, MI 488471039 - Phone
- (989) 287-0662
- Fax
- (989) 629-8145
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Psychologist | 103T00000X | Psychologist | 6301007939 | MI | No |
| Physician Assistant | 363A00000X | Physician Assistant | 2782 | AZ | No |
| Medical Physician Assistant Medical | 363AM0700X | Physician Assistant | N/A | N/A | No |
| Physician Assistant | 363A00000X | Physician Assistant | 5601003961 | MI | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00140431 | 01 | AZ | RAILROAD |
| 0852900260 | 01 | MI | BCBSM |
| 762246 | 05 | AZ | N/A |
| 50155318 | 01 | NM | MEDICAID |
Additional Practice Locations
420 W 5th Ave
Flint, MI 485032445
Flint, MI 485032445
Phone: (810) 257-3705
Fax: (989) 629-8145
Frequently Asked Questions
What is Matthew A Stack, PA C's NPI number?
Matthew A Stack, PA C's NPI number is 1033108667.
Which doctor has NPI number 1033108667?
The doctor with NPI number 1033108667 is Matthew A Stack, PA C.
What is Matthew A Stack, PA C's practice address?
Matthew A Stack, PA C's practice address is 121 N PINE RIVER ST, ITHACA, MI, 488471039.
Which doctor practices at 121 N PINE RIVER ST, ITHACA, MI, 488471039?
Matthew A Stack, PA C practices at 121 N PINE RIVER ST, ITHACA, MI, 488471039.
What is Matthew A Stack, PA C's phone number?
Matthew A Stack, PA C's phone number is (989) 287-0662.
Who is (989) 287-0662?
(989) 287-0662 is the phone number for Matthew A Stack, PA C.
What is Matthew A Stack, PA C's specialty?
Matthew A Stack, PA C's specialty is Physician Assistant.
What type of doctor is Matthew A Stack, PA C?
Matthew A Stack, PA C is a Physician Assistant.
Is Matthew A Stack, PA C a Physician Assistant?
Yes, Matthew A Stack, PA C is a Physician Assistant.
Is Matthew A Stack, PA C still practicing?
Yes, Matthew A Stack, PA C is currently practicing.
Is Matthew A Stack, PA C accepting new patients?
Matthew A Stack, PA C may be accepting new patients. Please call their office at (989) 287-0662 to inquire about availability.
Is NPI 1033108667 still active?
Yes, NPI 1033108667 is currently active.
Where does Matthew A Stack, PA C practice?
Matthew A Stack, PA C practices in ITHACA, MI.
Is Matthew A Stack, PA C a male or female doctor?
Matthew A Stack, PA C is a male doctor.