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Individual
MICHAEL BOCK
Active
Individual
MICHAEL BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
GAA-NP004619
GA
363LF0000X
Family Nurse Practitioner
120536
WV
Other
Enumeration date
10/30/2024
Last updated
05/22/2026
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