Organization
BLUE WATER URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM DABAJA PA-C , PHD (CEO)
(313) 377-5758
Entity
Organization
Contact information
Practice address
3941 24TH AVE, FORT GRATIOT, MI 48059-4102
(810) 882-9373
Mailing address
3941 24TH AVE, FORT GRATIOT, MI 48059-4102
(810) 882-9373
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
06/01/2021
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