# BLUEWATER URGENT CARE CLINIC PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1760128755
- **Authorized official:** DR. IBRAHIM H DABAJA PA-C, PHD (PRESIDENT)
- **Authorized official phone:** (810) 662-2827

## Contact information

- **Practice address:** 2700 POINTE TREMBLE RD, ALGONAC, MI 48001-1836
- **Practice address phone:** (586) 625-0455
- **Mailing address:** 2700 POINTE TREMBLE RD, ALGONAC, MI 48001-1836
- **Mailing address phone:** (810) 662-2827
- **Mailing address fax:** (810) 821-7821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2022
- **Last updated:** 07/03/2022