Individual
MICHAEL BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5503
Mailing address
911 SUNCREST RD, SOUTH CHARLESTON, WV 25303-2337
(443) 220-4590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120536
WV
Other
Enumeration date
10/30/2024
Last updated
06/30/2025
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