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Dr. Evan H Black, MD
Ophthalmic Plastic and Reconstructive Surgery Physician in Detroit, Michigan
NPI 1932185089

Evan H Black is a Ophthalmic Plastic and Reconstructive Surgery Physician based in Troy, MI and is specialized in Ophthalmic Plastic and Reconstructive Surgery. Evan H Black practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Evan H Black is 1932185089 and holds a License No. 4301071533 (Michigan).

The current practice location address for Evan H Black is 4717 St. Antoine, Detroit, MI and can be reached out via phone at 313-577-8900 and via fax at 313-577-0700.

Location: 4717 St. Antoine, Detroit, MI, 48083-1138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932185089
Provider Name
Evan H Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4717 St. Antoine, Detroit, MI, 48083-1138
Phone Number
313-577-8900
Fax Number
313-577-0700
Provider Enumeration Date
12/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3462161 05 MI
institution
Provider Business Practice Location Address Details
Address
4717 St. Antoine
City
Detroit
State
Michigan
Zip
48201-1423
Phone Number
313-577-8900
Fax Number
313-577-0700
person
Provider Business Mailing Address Details
Address
4717 St. Antoine
City
Detroit
State
Michigan
Zip
48201-1423
Phone Number
313-577-8900
Fax Number
313-577-0700
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Ophthalmic Plastic and Reconstructive Surgery
Taxonomy
207WX0200X
License No.
4301071533 (Michigan)
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
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