Organization · Type 2 NPI

Blue Water Primary Care

Family Medicine Physician · Fort Gratiot, MI

NPI number 1013896638 Active

Practice location

3953 24th Ave
Fort Gratiot, MI 48059-4193

Call (734) 299-0712 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1013896638

Blue Water Primary Care's National Provider Identifier is 1013896638, issued on Aug 28, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Gratiot, MI. The record was last updated on Jan 28, 2026.