Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL CLARENCE BLAKE, M.D.
ActiveDR. MICHAEL CLARENCE BLAKE, M.D. is a General Surgery healthcare provider located in SUFFOLK, Virginia. NPI 1063474955 is currently active in the NPPES registry. Verify at CMS.
General Surgery · SUFFOLK, VA
Registration Details
- NPI Number
- 1063474955
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2006 (20.384103748282 yrs)
- Last Updated
- Nov 13, 2012
- License
-
0101023774 (VA)
Practice Information
- Address
-
2790 GODWIN BLVDSTE 305SUFFOLK, VA, 234348151Browse VA providers · Browse ZIP 23434
- Phone
- 7579344222
- Fax
- 7579344111
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in SUFFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL S HOGG | M.D. | 1659379998 |
| DR. CHARLES PIERRE WILLIAMS | MD | 1194754564 |
| STEPHEN JOSEPH LANGSTON | M.D. | 1497860944 |
| DR. JAMES GRAHAM BITTNER IV | MD | 1215058870 |
| DALLIS. LOUIS GREEN | M.D. | 1386806479 |
| WAYNE TSE | M.D. | 1609222967 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.