KARIN BLACK

MERCY MEDICAL PARTNERS NORTHERN REGION LLC

Dr KARIN BLACK is a female medical professional, specializing in Family Medicine. She graduated in 2010 from Lake Erie College Of Osteopathic Medicine.

Contact

MERCY MEDICAL PARTNERS NORTHERN REGION LLC

1400 E 2ND ST
DEFIANCE
OH
435122440

Tel: 4197841414

KARIN BLACK Information

Npi 1366753584
Pac Id 7719107002
Professional Enrollment Id I20141009000349
Last Name BLACK
First Name KARIN
Middle Name
Suffix
Gender F
Credential
Medical School Name LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2010
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MERCY MEDICAL PARTNERS NORTHERN REGION LLC
Group Practice Pac Id 0244407823
Number Of Group Practice Members 98
Line 1 Street Address 1400 E 2ND ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DEFIANCE
State OH
Zip Code 435122440
Phone Number 4197841414
Hospital Affiliation Ccn 1 360270
Hospital Affiliation Lbn 1 MERCY HOSPITAL OF DEFIANCE
Hospital Affiliation Ccn 2 361309
Hospital Affiliation Lbn 2 HENRY COUNTY HOSPITAL, INC
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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