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Blue Water Oncology Pc
Hematology & Oncology Physician in Port Huron, Michigan
NPI 1619054160

Blue Water Oncology Pc is a Hematology & Oncology Physician based in Port Huron, MI and is specialized in Hematology & Oncology. Blue Water Oncology Pc practices in Port Huron, MI. The NPI Number for Blue Water Oncology Pc is 1619054160 and holds a License No. 4301054609 (Michigan).

The current practice location address for Blue Water Oncology Pc is 2605 Electric Ave, Port Huron, MI and can be reached out via phone at 810-985-1670 and via fax at 810-982-9180.

Location: 2605 Electric Ave, Port Huron, MI, 48060-6590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619054160
Provider Name
Blue Water Oncology Pc
Credential
Provider Entity Type
Organization
Address
2605 Electric Ave, Port Huron, MI, 48060-6590
Phone Number
810-985-1670
Fax Number
810-982-9180
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0G41029 01 MI BCBS COMMON PROVIDER CODE
CG7803 01 MI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2605 Electric Ave
City
Port Huron
State
Michigan
Zip
48060-6590
Phone Number
810-985-1670
Fax Number
810-982-9180
person
Provider Business Mailing Address Details
Address
2605 Electric Ave
City
Port Huron
State
Michigan
Zip
48060-6590
Phone Number
810-985-1670
Fax Number
810-982-9180
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
4301054609 (Michigan)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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