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1881681732
EARL BLACK
MACOMB, MI
NPI
1881681732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 4301023839)
Enumeration Date
2005-10-05
Last Update Date
2007-07-08
Business Address
-- EARL BLACK MD
46591 ROMEO PLANK RD
MACOMB, MI 48044-5742
Phone number: 586-443-4950
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Mailing Address
-- EARL BLACK MD
43800 GARFIELD RD
CLINTON TWP, MI 48038-1136
Phone number: 800-848-0202
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