Individual
SANFORD BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3158 W CENTRAL AVE, TOLEDO, OH 43606-2920
(419) 531-3538
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35041611B
OH
Other
Enumeration date
08/22/2006
Last updated
08/24/2007
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