# BLUE WATER OB & GYN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508954603
- **Authorized official:** DR. ERIC JAMES HARTMAN MD (PRESIDENT)
- **Authorized official phone:** (810) 984-3559

## Contact information

- **Practice address:** 1313 STONE ST, PORT HURON, MI 48060-3520
- **Practice address phone:** (810) 984-3559
- **Practice address fax:** (810) 985-5196
- **Mailing address:** 1313 STONE ST, PORT HURON, MI 48060-3520
- **Mailing address phone:** (810) 984-3559
- **Mailing address fax:** (810) 985-5196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 09/10/2009