Individual provider · Type 1 NPI

Michael Jason Black, MD

Surgery Physician · Appleton, WI

NPI number 1720036387 Active

Practice location

2000 E Milestone Dr
Appleton, WI 54913-6701

Call (920) 731-8131 Map

Fax (920) 832-0444

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X46688 (WI)
Surgery Physician Primary 208600000X46688-020 (WI)

Surgery Physician: 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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1720036387

Michael Jason Black, MD's National Provider Identifier is 1720036387, issued on May 5, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Appleton, WI. The record was last updated on Jul 22, 2025.