Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL T BLACK
Active Sole ProprietorMICHAEL T BLACK is a Podiatric Surgery healthcare provider located in ROSEBURG, Oregon. NPI 1316768872 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · ROSEBURG, OR
Registration Details
- NPI Number
- 1316768872
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2024 (1.8376595044931 yrs)
- Last Updated
- Oct 17, 2024
- License
-
1922258 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
317 LAD LNROSEBURG, OR, 974714420Browse OR providers · Browse ZIP 97471
- Phone
- 5413934138
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| TERRY LYNN WILLIS | — | 1942052519 |
| CARMALEETA QUINTELLA HAWKINS | — | 1750199824 |
| THOMAS A BLACK | — | 1861364754 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.