Organization
BLUE WATER URGENT CARE PORT HURON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM DABAJA PA-C, PH.D. (PRESIDENT)
(810) 660-0242
Entity
Organization
Contact information
Practice address
1612 10TH AVE, PORT HURON, MI 48060-3303
(810) 660-0242
Mailing address
1612 10TH AVE, PORT HURON, MI 48060-3303
(810) 660-0242
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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