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

Blue Water Pain Specialists PC

Organization Pain Medicine Physician · NPI 1568889442

Blue Water Pain Specialists PC is a Pain Medicine Physician in Detroit, Michigan. Registered with an NPI since 2014.

In the registry since
2014
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

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1568889442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bassam Durgham — Treasurer · (248) 792-7029
NPI enumeratedMarch 28, 2014
Last updated in NPPESNovember 15, 2017
Mailing address538 Chase Ln, Bloomfield Hills, MI 48304-2363

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