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Contact Information

JOHN L BLACK, MD
200 1ST ST SW
ROCHESTER, MN55905-0001
 Phone: 507-284-2511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JOHN L BLACK · (Male)

NPI # 1790762862
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2005
Last updated 10/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 26917
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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