MICHAEL ANOTONIO BLALOCK

GREEN BAY, WI
NPI1881156495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: WI  76147-20)
Enumeration Date2019-04-02
Last Update Date2023-06-27
Business Address
Dr. MICHAEL ANOTONIO BLALOCK MD
835 S VAN BUREN ST
GREEN BAY, WI 54301-3575
Phone number: 920-433-0111
Mailing Address
Dr. MICHAEL ANOTONIO BLALOCK MD
1162 BROOKWOOD DR APT 312
GREEN BAY, WI 54304-4146
Phone number: 312-217-7450
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