# MICHAEL JAMES BLEW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023394152
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | 4451 | SC | — |
| 363LA2100X | Acute Care Nurse Practitioner | AP125776 | MO | — |
| 363LA2100X | Acute Care Nurse Practitioner | AP125776 | TX | Yes |

## Other

- **Enumeration date:** 11/03/2011
- **Last updated:** 10/13/2022
