MEDICARE: DAVID BLAKE MAY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	DM013379	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0852810264	OTHER	MI	BLUE CROSS BLUE SHIELD
2	28346	OTHER	MI	PRIORITY HEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538184551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID BLAKE MAY D.O.

Provider Business Mailing Address
First Line	:	PO BOX 363
Second Line	:
City	:	ACME
State	:	MI
Zip	:	49610-0363
Country	:	US
Telephone Number	:	231-938-7968
Fax Number	:	231-346-6044

Provider Business Practice Location Address
First Line	:	6100 US HIGHWAY 31 N
Second Line	:
City	:	WILLIAMSBURG
State	:	MI
Zip	:	49690-9306
Country	:	US
Telephone Number	:	231-938-7968
Fax Number	:	231-346-6044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	10/07/2020

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