Blue Water Primary Care
NPI #1013896638 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1013896638
- Entity Type
- Organization
- Organization Name
- Blue Water Primary Care
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 28, 2025
- Last Updated
- Jan 28, 2026
Practice Location
- Address
- 3953 24TH AVE
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-4193
- Phone
- (734) 299-0712
Authorized Official
- Name
- DR. IBRAHIM DABAJA, PA-C, PH.D.
- Title
- CHIEF OPERATING OFFICER
- Phone
- (810) 363-9337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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