Individual provider · Type 1 NPI

Jordan Black, MD

Neurological Surgery Physician · Royal Oak, MI

NPI number 1083289730 Active

Practice location

3555 W 13 Mile Rd
Royal Oak, MI 48073-6710

Mailing address

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X4351048510 (MI)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1083289730

Jordan Black, MD's National Provider Identifier is 1083289730, issued on May 25, 2021. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Royal Oak, MI. The record was last updated on May 25, 2021.