Organization · Type 2 NPI

Blue Water Oncology PC

Hematology & Oncology Physician · Port Huron, MI

NPI number 1619054160 Active

Practice location

2605 Electric Ave
Port Huron, MI 48060-6590

Fax (810) 982-9180

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X4301054609 (MI)

Hematology & Oncology Physician: 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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About NPI 1619054160

Blue Water Oncology PC's National Provider Identifier is 1619054160, issued on Nov 1, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Port Huron, MI. The record was last updated on Aug 22, 2020.