Organization
MACULAR RENEWAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD PATRICK STACK MD (OWNER)
(810) 410-7383
Entity
Organization
Contact information
Practice address
5300 GATEWAY CTR STE B, FLINT, MI 48507-3930
(810) 410-7383
(810) 720-9098
Mailing address
5300 GATEWAY CTR STE B, FLINT, MI 48507-3930
(810) 410-3001
(810) 720-9098
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
04/09/2026
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