MICHAEL CLARENCE BLAKE

SUFFOLK, VA
NPI1063474955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: VA  0101023774)
Enumeration Date2006-04-05
Last Update Date2012-11-13
Business Address
Dr. MICHAEL CLARENCE BLAKE m.d.
2790 GODWIN BLVD STE 305
SUFFOLK, VA 23434-8151
Phone number: 757-934-4222
Mailing Address
Dr. MICHAEL CLARENCE BLAKE m.d.
2790 GODWIN BLVD STE 305
SUFFOLK, VA 23434-8151
Phone number: 757-934-4222
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