Individual
DR. DAVID MARTIN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 995-3764
Mailing address
3000 GREEN RD, ANN ARBOR, MI 48105-1511
(734) 995-3764
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301101004
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301101004
MI
Other
Enumeration date
06/27/2012
Last updated
12/21/2021
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