Michael Lane Black is a Family Medicine Physician based in Poland, OH. Michael Lane Black practices in Poland, OH and has the professional credentials of MD. The NPI Number for Michael Lane Black is 1497730857 and holds a License No. 35069367 (Ohio).
The current practice location address for Michael Lane Black is 6615 Clingan Road, Poland, OH and can be reached out via phone at 330-707-1425 and via fax at 330-757-2814.
Identifier | Type | State | Issuer |
---|---|---|---|
35069367 | 01 | OH | LICENSE |
2104752 | 05 | OH |
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