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Blue Water Medical Pllc
Clinic/Center in Port Huron, Michigan
NPI 1336409192

Blue Water Medical Pllc is a Clinic/Center based in Port Huron, MI. Blue Water Medical Pllc practices in Port Huron, MI. The NPI Number for Blue Water Medical Pllc is 1336409192 and holds a License No. 4301093347 (Michigan).

The current practice location address for Blue Water Medical Pllc is 511 Fort St, Port Huron, MI and can be reached out via phone at 810-479-4769 and via fax at 888-414-4545.

Location: 511 Fort St, Port Huron, MI, 48060-3922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336409192
Provider Name
Blue Water Medical Pllc
Credential
Provider Entity Type
Organization
Address
511 Fort St, Port Huron, MI, 48060-3922
Phone Number
810-479-4769
Fax Number
888-414-4545
Provider Enumeration Date
05/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
511 Fort St
City
Port Huron
State
Michigan
Zip
48060-3922
Phone Number
810-479-4769
Fax Number
888-414-4545
person
Provider Business Mailing Address Details
Address
511 Fort St
City
Port Huron
State
Michigan
Zip
48060-3922
Phone Number
810-479-4769
Fax Number
888-414-4545
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
4301093347 (Michigan)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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