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

Dr. Michael Anotonio Blalock, MD

Individual provider Anesthesiology Physician · NPI 1881156495

Dr. Michael Anotonio Blalock, MD is an Anesthesiology in Green Bay, Wisconsin. Graduated from Medical College of Wisconsin in 2018, 8 years ago. Practices with Green Bay Anesthesia Assoc SC, a 71-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2019
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

835 S Van Buren St
Green Bay, WI 54301-3575
Phone: (920) 433-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 76147-20 (WI)

Record details

NPI number1881156495
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2019
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2018 (8 years in practice)
Group practice Green Bay Anesthesia Assoc. Sc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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