Individual provider · NPI-1

John L Black, M.D.

Pathology, Clinical Pathology/Laboratory Medicine · Rochester, MN

NPI number1790762862
StatusActive
Last updated in NPPESSep 11, 2026

Details

NPI
1790762862
Entity type
Individual (NPI-1)
Name
John L Black
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 29, 2005
Certification date
Sep 11, 2026
Last updated
Sep 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine26917MNYes
2084P0800X Psychiatry & Neurology, Psychiatry26917MN

Practice location

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511

Mailing address

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511

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