Individual
JAMES R BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6500
(906) 337-6597
Mailing address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6500
(906) 337-6597
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301046513
MI
208000000X
Pediatrics Physician
Primary
4301046513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010C17613
BLUE CROSS
MI
05
—
2646217
—
MI
Enumeration date
11/30/2006
Last updated
09/19/2025
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