Individual
MICHAEL STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
EP
Contact information
Practice address
4710 S STATE RD, ANN ARBOR, MI 48108-9719
(734) 788-4595
Mailing address
4710 S STATE RD, ANN ARBOR, MI 48108-9719
(734) 788-4595
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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