MATTHEW STACK, PA C

Physician Assistant

Active Individual
NPI: 1033108667

Practice Address

121 N PINE RIVER ST
Ithaca, MI 48847

Phone: (989) 287-0662

Specialties

Specialty Code Primary License
Psychologist 103T00000X No 6301007939 (MI)
Physician Assistant - Medical 363AM0700X No -
Physician Assistant 363A00000X Yes 5601003961 (MI)

Frequently Asked Questions

NPI 1033108667 is the National Provider Identifier for MATTHEW STACK, PA C, a Physician Assistant provider located in Ithaca, MI. This NPI was enumerated on October 17, 2005.
MATTHEW STACK, PA C practices at 121 N PINE RIVER ST, Ithaca, MI 48847.

Quick Facts

NPI
1033108667
Type
Individual
Enumerated
Oct 17, 2005
Last Updated
Feb 5, 2026

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