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 provides Pain Medicine Physician services 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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