| NPI | 1720023690 |
|---|---|
| Doing Business As | BLUE WATER SURGERY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 74-6817) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2022-09-21 |