| James D Black | |
|
18010 Mack Ave, Grosse Pointe, MI 48230-6235 | |
| (313) 882-7480 | |
| (248) 652-3401 |
| Full Name | James D Black |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 18010 Mack Ave, Grosse Pointe, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871761601 | NPI | - | NPPES |
| 485635035 | Other | MI | BCBSM |
| 5635035 | Other | MI | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | JB001105 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| James D Black 18010 Mack Ave, Grosse Pointe, MI 48230-6235 Ph: (313) 882-7480 | James D Black 18010 Mack Ave, Grosse Pointe, MI 48230-6235 Ph: (313) 882-7480 |
Dr. Marc Anthony Digrande, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18010 Mack Ave, Grosse Pointe, MI 48230 Phone: 313-882-7480 | |
Premier Foot & Ankle, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18010 Mack Ave, Grosse Pointe, MI 48230 Phone: 313-882-7480 Fax: 313-882-7525 |