Organization
BLUE WATER PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM DABAJA PA-C, PH.D. (CHIEF OPERATING OFFICER)
(810) 363-9337
Entity
Organization
Contact information
Practice address
3953 24TH AVE, FORT GRATIOT, MI 48059-4193
(734) 299-0712
Mailing address
3953 24TH AVE, FORT GRATIOT, MI 48059-4193
(810) 363-9337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
01/28/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us