Blue Water Children's Health Care

NPI #1962003566 in Fort Gratiot, Michigan

Provider Information

NPI Number: 1962003566
Entity Type: Organization
Organization Name: Blue Water Children's Health Care
Primary Specialty: Pediatrics
Enumeration Date: Nov 2, 2020
Last Updated: Nov 2, 2020

Practice Location

Address: 3030 COMMERCE DR
City: Fort Gratiot
State: Michigan
ZIP Code: 48059-3819
Phone: (810) 385-9559

Authorized Official

Name: DEV NANDAMUDI, MD
Title: MD
Phone: (810) 385-9559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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