# BLUE WATER URGENT CARE NEW BALTIMORE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235841362
- **Authorized official:** DR. IBRAHIM H DABAJA PA-C, PH.D. (PRESIDENT)
- **Authorized official phone:** (586) 335-3573

## Contact information

- **Practice address:** 35284 23 MILE RD, NEW BALTIMORE, MI 48047-2096
- **Practice address phone:** (586) 335-3573
- **Mailing address:** 35284 23 MILE RD, NEW BALTIMORE, MI 48047-2096
- **Mailing address phone:** (586) 335-3573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2022
- **Last updated:** 01/06/2023