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Blue Water Primary Care

Family Medicine Physician in Fort Gratiot, MI · enumerated 2025 · authorized official Ibrahim Dabaja, Chief Operating Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013896638

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Water Primary Care
Practice address 3953 24th Ave, Fort Gratiot, MI, 48059
Phone (734) 299-0712
Enumeration date Aug 28, 2025
Last updated in NPPES Jan 28, 2026

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ibrahim Dabaja
Title Chief Operating Officer
Phone (810) 363-9337

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Blue Water Primary Care located?
The practice location on file with NPPES is in Fort Gratiot, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-28.