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Organization

SOUTHSHORE URGENT CARE PLLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IBRAHIM DABAJA PA-C, PH.D. (OWNER)
(734) 444-2961
Entity
Organization

Contact information

Practice address
20789 GIBRALTAR RD, BROWNSTOWN TWP, MI 48183-5087
(734) 444-2961
Mailing address
20789 GIBRALTAR RD, BROWNSTOWN TWP, MI 48183-5087
(734) 444-2961

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
04/11/2019
Last updated
12/19/2022
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