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Individual

DR. MICHAEL D. BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000

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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