Evan H Black in Troy - Ophthalmic Plastic And Reconstructive Surgery
Evan H Black - NPI 1932185089
Evan H Black is a Ophthalmic Plastic And Reconstructive Surgery in Troy, Michigan. Evan H Black practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for Evan H Black is 1932185089. The last update date is 2021-09-17.
Evan H Black's current location address is 1560 E Maple Rd, Troy, Michigan. You can contact this provider via phone number 3135778900 and fax number 3135770700. The mailing address for Evan H Black is 1560 E Maple Rd, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan H Black |
|---|---|
| Address | 1560 E Maple Rd, Troy, Michigan |
| Phone Number | 3135778900 |
| Fax Number | 3135770700 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932185089 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2021-09-17 |
Provider Mailing Address Detail
| Address | 1560 E Maple Rd |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 480831138 |
| Phone Number | 3135778900 |
| Fax Number | 3135770700 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmic Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 207Wx0200X |
| Licence No | 4301071533 |
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Definition: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3462161 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Evan H Black by the Centers for Medicare & Medicaid Services?
The Evan H Black has been assigned the NPI (National Provider Identifier) 1932185089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Evan H Black's physical address?
The Evan H Black is physically located at 1560 E Maple Rd, in the city of Troy, MI, with the postal code 480831138.
What is Evan H Black's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Evan H Black is Ophthalmic Plastic And Reconstructive Surgery, and the taxonomy code that categorizes this field of expertise is 207Wx0200X.
When did Evan H Black receive its 1932185089 assignment?
The Evan H Black was assigned its 1932185089 on 2005-12-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Evan H Black, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Evan H Black, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-09-17.
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