BLUE WATER PAIN SPECIALISTS PC

DETROIT, MI
NPI1568889442
Entity TypeOrganization
Authorized ContactBASSAM E. DURGHAM
Treasurer
248-792-7029
Organization Subpart ?No
Primary Taxonomy208VP0000X Pain Medicine, Pain Medicine
Enumeration Date2014-03-28
Last Update Date2017-11-15
Business Address
BLUE WATER PAIN SPECIALISTS PC
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-4000
Mailing Address
BLUE WATER PAIN SPECIALISTS PC
538 CHASE LN
BLOOMFIELD HILLS, MI 48304-2363
Phone number: 248-792-7029