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

Blue Water Medical PLLC

Organization Clinic/Center · NPI 1336409192

Blue Water Medical PLLC is a Clinic/Center in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

511 Fort St Ste 102
Port Huron, MI 48060-3922
Phone: (810) 479-4769
Fax: (888) 414-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 4301093347 (MI)

Record details

NPI number1336409192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcus Free — President/Member · (810) 479-4769
NPI enumeratedMay 25, 2012
Last updated in NPPESMay 25, 2012
Mailing address511 Fort St, Suite 102, Port Huron, MI 48060-3922

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