Individual provider · Type 1 NPI

Michael Clarence Blake, MD

Surgery Physician · Suffolk, VA

NPI number 1063474955 Active

Practice location

2790 Godwin Blvd, Ste 305
Suffolk, VA 23434-8151

Call (757) 934-4222 Map

Fax (757) 934-4111

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X0101023774 (VA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1063474955

Michael Clarence Blake, MD's National Provider Identifier is 1063474955, issued on Apr 5, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Suffolk, VA. The record was last updated on Nov 13, 2012.