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Individual
DR. MICHAEL D. BLACK
Active
Individual
DR. MICHAEL D. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD-18211
HI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MDR-5689
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010871200
—
FL
Enumeration date
05/20/2009
Last updated
06/02/2021
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