Graduated: 2020
NPI: 1205588779
Practice Locations (3)
BLUE WATER PAIN SPECIALISTS PC
22101 MOROSS RD
DETROIT, MI 482362148
3133434000
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
BLUE WATER PAIN SPECIALISTS PC
21000 E 12 MILE RD, SUITE 100 ST JOHN SURG CTR VISITS
SAINT CLAIR SHORES, MI 480811156
3133434370
Source: CMS National Downloadable File, September 2026.