| Blue Oceanss LLC | |
|
490 Fairbrook St Northville MI 48167-1534 | |
| (248) 862-1040 | |
| Not Available |
| Full Name | Blue Oceanss LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 490 Fairbrook St, Northville, Michigan |
| Authorized Official Name and Position | Austin Rogers (OWNER) |
| Authorized Official Contact | 2488621040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Oceanss LLC 490 Fairbrook St Northville MI 48167-1534 | Blue Oceanss LLC 490 Fairbrook St Northville MI 48167-1534 Ph: (248) 862-1040 |
| NPI Number | 1669194643 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669194643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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