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Individual
MICHAEL KEVIN BLOCK
Active
Individual
MICHAEL KEVIN BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01244
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750467338
INDIVIDUAL NPI
MD
01
—
AD13
BLUE SHIELD
MD
Enumeration date
10/27/2006
Last updated
07/01/2022
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