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Michael Black
Family Nurse Practitioner in Leon, Iowa
NPI 1598439713

Michael Black is a Family Nurse Practitioner based in Eagleville, IA and is specialized in Family. Michael Black practices in Leon, IA. The NPI Number for Michael Black is 1598439713 and holds a License No. A164712 (Iowa).

The current practice location address for Michael Black is 302 Ne 14Th St, Leon, IA and can be reached out via phone at 641-446-2383.

Location: 302 Ne 14Th St, Leon, IA, 64442-9193
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598439713
Provider Name
Michael Black
Credential
Provider Entity Type
Individual
Gender
Male
Address
302 Ne 14Th St, Leon, IA, 64442-9193
Phone Number
641-446-2383
Fax Number
Provider Enumeration Date
08/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
302 Ne 14Th St
City
Leon
State
Iowa
Zip
50144-1206
Phone Number
641-446-2383
Fax Number
person
Provider Business Mailing Address Details
Address
302 Ne 14Th St
City
Leon
State
Iowa
Zip
50144-1206
Phone Number
641-446-2383
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A164712 (Iowa)
Definition
Definition to come...
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