Blue Water Urgent Care Pllc
NPI #1477135036 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1477135036
- Entity Type
- Organization
- Organization Name
- Blue Water Urgent Care Pllc
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Apr 23, 2021
- Last Updated
- Jun 1, 2021
Practice Location
- Address
- 3941 24TH AVE
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-4102
- Phone
- (810) 882-9373
Authorized Official
- Name
- DR. IBRAHIM DABAJA, PA-C , PHD
- Title
- CEO
- Phone
- (313) 377-5758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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| Physician Healthcare Network, PC | |
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