Search › Missouri › 101YA0400X
Patrick Stack, D.MIN
NPI 1407062383 · on the registry since 2007 · sole proprietor
Practice
- Address
- 10702 Manchester Rd
Kirkwood, MO 63122 - Phone
- (314) 966-1022
- Fax
- (314) 968-7126
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YP2500X
106H00000X - Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri