Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Water Internal Medicine, PC

Organization Internal Medicine Physician · NPI 1255967667

Blue Water Internal Medicine, PC is an Internal Medicine Physician in Port Huron, Michigan. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1210 10th Ave
Port Huron, MI 48060-3406
Phone: (810) 622-3505
Fax: (810) 662-3479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1255967667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nikki Hack — Practice Manager · (810) 662-3505
NPI enumeratedMarch 17, 2020
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address1210 10th Ave, Port Huron, MI 48060-3406

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