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1093789414
MICHAEL SCOTT BLAU
WINSTON SALEM, NC
NPI
1093789414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103449)
Enumeration Date
2006-02-14
Last Update Date
2024-11-08
Business Address
MICHAEL SCOTT BLAU PA-C
190 KIMEL PARK DR STE 140
WINSTON SALEM, NC 27103-6946
Phone number: 336-277-2225
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Mailing Address
MICHAEL SCOTT BLAU PA-C
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 336-277-2225
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