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Contact Information

BLUE WATER PAIN SPECIALISTS PC
22101 MOROSS RD
DETROIT, MI48236-2148
 Phone: 313-343-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for BLUE WATER PAIN SPECIALISTS PC · (Female)

NPI # 1568889442
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2014
Last updated 11/15/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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