| NPI | 1578819850 |
|---|---|
| Doing Business As | BLUE WATER OPEN MRI |
| Entity Type | Organization |
| Authorized Contact | MARWAN I SHUAYTO Physician 810-989-0000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2020-06-25 |