Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Clarence Blake, MD

Individual provider Surgery Physician · NPI 1063474955

Dr. Michael Clarence Blake, MD is a Surgery Physician in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2790 Godwin Blvd Ste 305
Suffolk, VA 23434-8151
Phone: (757) 934-4222
Fax: (757) 934-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101023774 (VA)

Record details

NPI number1063474955
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESNovember 13, 2012

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