DR. MICHAEL BLAKE, M.D.

Surgery

Active Individual
NPI: 1063474955

Practice Address

2790 GODWIN BLVD
STE 305
Suffolk, VA 23434

Phone: (757) 934-4222

Specialties

Specialty Code Primary License
Surgery 208600000X Yes 0101023774 (VA)

Frequently Asked Questions

NPI 1063474955 is the National Provider Identifier for DR. MICHAEL BLAKE, M.D., a Surgery provider located in Suffolk, VA. This NPI was enumerated on April 5, 2006.
DR. MICHAEL BLAKE, M.D. practices at 2790 GODWIN BLVD, STE 305, Suffolk, VA 23434.

Quick Facts

NPI
1063474955
Type
Individual
Enumerated
Apr 5, 2006
Last Updated
Nov 13, 2012

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