Blue Water Medical Pllc | |
511 Fort St Suite 102 Port Huron MI 48060-3922 | |
(810) 479-4769 | |
(888) 414-4545 |
Full Name | Blue Water Medical Pllc |
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Speciality | Clinic/center |
Location | 511 Fort St, Port Huron, Michigan |
Authorized Official Name and Position | Marcus K. Free (PRESIDENT/MEMBER) |
Authorized Official Contact | 8104794769 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Water Medical Pllc 511 Fort St Suite 102 Port Huron MI 48060-3922 Ph: (810) 479-4769 | Blue Water Medical Pllc 511 Fort St Suite 102 Port Huron MI 48060-3922 Ph: (810) 479-4769 |
NPI Number | 1336409192 |
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Provider Enumeration Date | 05/25/2012 |
Last Update Date | 05/25/2012 |
Identifier | Type | State | Issuer |
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1336409192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 4301093347 (Michigan) | Primary |
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