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1760529705
BLUE WATER PODIATRY PC
PORT HURON, MI
NPI
1760529705
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Entity Type
Organization
Authorized Contact
THOMAS K ERNST
Owner
810-982-4240
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: MI 59000955)
Enumeration Date
2007-01-31
Last Update Date
2007-10-19
Business Address
BLUE WATER PODIATRY PC
828 10TH AVE
PORT HURON, MI 48060-3640
Phone number: 810-982-4240
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Mailing Address
BLUE WATER PODIATRY PC
5303 SHOREWOOD DR
FORT GRATIOT, MI 48059-3137
Phone number: 810-385-2053
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