Individual
DR. JORDAN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3555 W 13 MILE RD, ROYAL OAK, MI 48073-6710
(248) 982-0400
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4351048510
MI
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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