Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Water Children's Health Care

Organization Pediatrics Physician · NPI 1962003566

Blue Water Children's Health Care provides Pediatrics Physician services in Fort Gratiot, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3030 Commerce Dr
Fort Gratiot, MI 48059-3819
Phone: (810) 385-9559
Fax: (810) 385-9515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1962003566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dev Nandamudi — Md · (810) 385-9559
NPI enumeratedNovember 2, 2020
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020
Mailing address3030 Commerce Dr, Fort Gratiot, MI 48059-3819

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