Individual
DR. MICHAEL EDWARD BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 RANDOLPH RD STE 216, CHARLOTTE, NC 28207-1106
(704) 316-5330
(704) 384-5992
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5416
(704) 384-5992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9600215
NC
207RI0200X
Infectious Disease Physician
Primary
9600215
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010238323
—
VA
01
—
1037P
BLUE CROSS/ BLUE SHIELD
NC
01
—
17461
PARTNER'S MEDICARE
NC
01
—
199003
WELLPATH
NC
01
—
200157944
CIGNA
NC
01
—
2117717
MAMSI
NC
01
—
301145600
OWCP
NC
01
—
346879
GREAT WEST
NC
01
—
5711536
AETNA
NC
01
—
6579469
CIGNA
NC
05
—
891037P
—
NC
01
—
9022381
UNITED HEALTHCARE
NC
01
—
C8899
MEDCOST
NC
Enumeration date
04/06/2006
Last updated
08/11/2021
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