Earl Black, MD

NPI #1881681732 in Macomb, Michigan

Provider Information

NPI Number: 1881681732
Entity Type: Individual
Name: Earl Black, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Oct 5, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 46591 ROMEO PLANK RD
City: Macomb
State: Michigan
ZIP Code: 48044-5742
Phone: (586) 443-4950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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