Michael Jason Black in Appleton - Surgery

Michael Jason Black - NPI 1720036387

Michael Jason Black is a Surgery in Appleton, Wisconsin. Michael Jason Black practices all healthcare services and medical treatments related to Surgery. The NPI Number for Michael Jason Black is 1720036387. The last update date is 2008-10-27.

Michael Jason Black's current location address is 1818 N Meade St, Appleton, Wisconsin. You can contact this provider via phone number 9207318131 and fax number 9208320444. The mailing address for Michael Jason Black is 1818 N Meade St, Appleton, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Jason Black
Address 1818 N Meade St, Appleton, Wisconsin
Phone Number 9207318131
Fax Number 9208320444
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1720036387
Provider Enumeration Date 2006-05-05
Last Updated Date 2008-10-27

Provider Mailing Address Detail

Address 1818 N Meade St
City Appleton
State Wisconsin (WI)
Post Code 549113496
Phone Number 9207318131
Fax Number 9208320444

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 46688
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Michael Jason Black

What is the unique identifier code issued to Michael Jason Black by the Centers for Medicare & Medicaid Services?

The Michael Jason Black has been assigned the NPI (National Provider Identifier) 1720036387. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Michael Jason Black?

The Michael Jason Black is situated at 1818 N Meade St, in the city of Appleton, state of WI, with the zip code 549113496.

What is the area of specialization for Michael Jason Black, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael Jason Black is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1720036387 to Michael Jason Black?

The Michael Jason Black received its 1720036387 assignment from the Centers for Medicare & Medicaid Services on 2006-05-05.

As of what date were the Michael Jason Black's details last updated?

The information pertaining to the Michael Jason Black, including its address, specialty, and other details, was most recently updated on 2008-10-27.

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