Organization
BLUE WATER OB & GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JAMES HARTMAN MD (PRESIDENT)
(810) 984-3559
Entity
Organization
Contact information
Practice address
1313 STONE ST, PORT HURON, MI 48060-3520
(810) 984-3559
(810) 985-5196
Mailing address
1313 STONE ST, PORT HURON, MI 48060-3520
(810) 984-3559
(810) 985-5196
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G46050
BCBSMI
MI
Enumeration date
10/11/2006
Last updated
09/10/2009
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