| NPI | 1396232880 |
|---|---|
| Doing Business As | BLUEWATER FOOT AND ANKLE SPECIALISTS |
| Doing Business As | BLUEWATER WOUND CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRANDON BULTSMA President 854-444-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-05-09 |