Organization · Type 2 NPI
Blue Water Medical PLLC
Clinic/Center · Port Huron, MI
NPI number
1336409192
Active
Practice location
511 Fort St, Suite 102
Port Huron, MI 48060-3922
Fax (888) 414-4545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 4301093347 (MI) |
Clinic/Center: 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).
Other clinic/center providers in Port Huron
About NPI 1336409192
Blue Water Medical PLLC's National Provider Identifier is 1336409192, issued on May 25, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Port Huron, MI. The record was last updated on May 25, 2012.