Individual
MICHAEL WILLIAM BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 995-2370
(215) 955-0677
Mailing address
20354 GLEN BRAE DR, SARATOGA, CA 95070-4953
(408) 483-2089
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT207226
PA
Other
Enumeration date
04/07/2014
Last updated
02/10/2016
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