Organization
BLUE OCEANSS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN ROGERS (OWNER)
(248) 862-1040
Entity
Organization
Contact information
Practice address
490 FAIRBROOK ST, NORTHVILLE, MI 48167-1534
(248) 862-1040
Mailing address
490 FAIRBROOK ST, NORTHVILLE, MI 48167-1534
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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