| Blue Water Primary Care | |
|
3953 24th Ave Fort Gratiot MI 48059-4193 | |
| (734) 299-0712 | |
| Not Available |
| Full Name | Blue Water Primary Care |
|---|---|
| Speciality | Clinic/center |
| Location | 3953 24th Ave, Fort Gratiot, Michigan |
| Authorized Official Name and Position | Ibrahim Dabaja (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7342990712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Primary Care 3953 24th Ave Fort Gratiot MI 48059-4193 Ph: (734) 299-0712 | Blue Water Primary Care 3953 24th Ave Fort Gratiot MI 48059-4193 Ph: (734) 299-0712 |
| NPI Number | 1013896638 |
|---|---|
| Provider Enumeration Date | 08/28/2025 |
| Last Update Date | 08/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013896638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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