Individual
MICHELLE J BLEILE
Active
Individual
MICHELLE J BLEILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
7709
SD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
37656
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
7709
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000034
BLUECROSS BLUESHIELD
SD
05
—
5580120
—
SD
01
—
CD5503
PALMETTO GPA RAILROAD
SD
01
—
S104136
MEDICARE
SD
Enumeration date
05/23/2007
Last updated
07/11/2013
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