NPI:
1720023690
Provider Name:
BLUE WATER ASC LLC
Doing Business As: BLUE WATER SURGERY CENTER, LLC
Classification:
Clinic/Center - 261QA1903X
Entity Type:
Organization
Specialization: Ambulatory Surgical
Address:
920 RIVER CENTRE DR
PORT HURON, MI
ZIP 48060
Phone:
(810) 984-5200
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BLUE WATER ASC LLC is an ambulatory surgical clinic center in Port Huron, MI. BLUE WATER ASC LLC NPI is 1720023690. The provider is registered as an organization entity type.
The provider Is Doing Business As Blue Water Surgery Center, Llc.
The provider's business location address is:
920 RIVER CENTRE DR
PORT HURON, MI
ZIP 48060-463
Phone: (810) 984-5200
Fax: (810) 985-5050
The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.
The enumeration date for this NPI number is 6/17/2006 and was last updated on 9/21/2022.