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1568889442
BLUE WATER PAIN SPECIALISTS PC
DETROIT, MI
NPI
1568889442
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Entity Type
Organization
Authorized Contact
BASSAM E. DURGHAM
Treasurer
248-792-7029
Organization Subpart ?
No
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
Enumeration Date
2014-03-28
Last Update Date
2017-11-15
Business Address
BLUE WATER PAIN SPECIALISTS PC
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-4000
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Mailing Address
BLUE WATER PAIN SPECIALISTS PC
538 CHASE LN
BLOOMFIELD HILLS, MI 48304-2363
Phone number: 248-792-7029
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