NPI 1083289730

Jordan Black, MD

Practitioner Neurological Surgery Physician Royal Oak, MI

Practice location

Address: 3555 W 13 Mile Rd, Royal Oak, MI 48073-6710
Phone: (248) 982-0400
Mailing address: 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 4351048510 (MI)

Other Neurological Surgery providers in Michigan →

Registry record

NPI: 1083289730
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2021
Record last updated: 25 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.